Medicare Fraud

Alexander Istomin, a registered nurse and nurse practitioner, really didn’t want to get close to the patients. So, he made his own business. A business built to defraud Medicare of nearly $12 million for patient services that never happened. Using the address of an...

Poet Charles Bukowski is quoted as saying, “I’m not dead yet, just in a state of rapid decay, who isn’t?” That’s what 24 healthy people in Louisiana might have said when they found out that they were registered for and receiving hospice care. Kristal...

Despite the commitment by Department of Health and Human Service  to prevent, detect, and eliminate fraud, Medicare fraud is a $100 billion gouge to the U.S. taxpayers bank account, annually. Fraudsters constantly scheme to make that loss bigger. Jordan Bunnel and his co-conspirators owned,...

Business-to-business, or B2B, refers to electronic commerce between two businesses. It's a business model in which the companies involved create products and services for other businesses and organizations. “Creating product” has the potential for fraud! Nagaindra Srivastav owned a business, B2B Apps Solutions, that...

In a statement released on March 14, 2023, Independent Living Systems, a healthcare and managed care solutions provider, said it experienced an “incident involving the inaccessibility of certain computer systems on its network”… last July. Nine months later, we are finding that the “incident” was...

When Florida resident Charles McElwee posted on December 7, 2021, an online advertisement promising “Medicare data for sale,” he was not joking. His price: 12 cents a file, a minimum buy of 5,000 files ($600). While it may appear to not be a big...

Djonibek Rahmankulov laundered money for a living. He operated a network of shell companies that were used to launder criminal proceeds from multiple types of criminal activity. And he made millions of dollars doing it. Beginning in 2017, Rahmankulov worked with computer hackers who would...

The Office of Inspector General for the U.S. Department of Health and Human Services (HHS) keeps a public list of those it has barred from receiving any payment from its programs. This list of exclusion has grown to more than 14,000 individuals and entities since...

From September 2015 through September 2018, KBWB Operations received more than $142 million from Medicare and Medicaid, with the expectation that they would provide adequate care and resources for twenty-four skilled nursing facilities called Antrium Post Acute Care, throughout Wisconsin and Michigan. Which might...

According to a press release on February 24, 2023, from the U.S. Department of Justice, Cornerstone Hospital Medical Center was a long-term care hospital that specialized in "providing extended medical and rehabilitative care to individuals who qualified as clinically complex and possessed multiple acute...