Federal Crimes
Complex healthcare fraud scheme boils down to two things — money and jail.
HARRISBURG – The United States Attorney’s Office for the Middle District of Pennsylvania announced that Rodney L. Yentzer, age 55, formerly of Carlisle, Pennsylvania and currently in Chuluota, Florida, was sentenced to 42 months imprisonment on charges of conspiracy to commit health care fraud, conspiracy to commit money laundering, and theft of public money. He…
Read MoreNursing Home Admin Steals Elderly Residents, Deceased Residents’ Estates for Her Own Financial Benefit
Mia Hardy, 58, was arrested and charged by indictment with eight counts of wire fraud, arising from an alleged scheme to defraud the residents of two senior living facilities, residents’ heirs, and the facilities themselves. Hardy was employed first at Living Facility #1 and Senior Living Facility #2. Both used a resident fund management service…
Read MoreHOSPITAL CEO PLEADS GUILTY TO FRAUD WHILE FINANCIAL OFFICER AT PRIOR JOB
Its amazing the creativity and gall of people in control of the bank accounts and bill paying mechanism at corporations. “Prosecutors say Mr. MacGregor defrauded his former employer, which is identified in the documents as a company that “provided medical laboratory directorship and pathology services to hospitals and clinics and operated an independent lab.” He…
Read MoreCMS audit and claw back of $2 Billion denied by federal master.
A federal judicial master’s critique of CMS’ audit case against a health insurer, “A mere possibility of an overpayment is not enough for the government to carry its burden.” The problem with the government’s allegations is that the government knew of the very chart review practices which it now claims United prevented it from learning,…
Read MoreDO NOT CALL IN A PRESCRIPTION IF YOU ARE NOT A PHYSICIAN
Samrat Mukherjee, a paramedic, admitted to posing as a physician and fabricating credentials, including a fake medical degree and residency match letter. He then called in prescriptions to pharmacies for himself and others. Using the identities of two physicians, for their licensing numbers, he claimed to have the authority to write prescriptions. He caused the…
Read MoreAct 53 of 2020…. Time for Reinstatement
We all know that a felony Drug Act conviction requires the healthcare boards in Pennsylvania to suspend a license for 10 years. https://phila-criminal-lawyer.com/drug-act-issues/felony-drug-convictions/ However, in 2020, a new law came into effect. Act 53 of 2020 provides that “the addition of [Section 3113] … shall apply to official acts and matters, including disciplinary matters, related…
Read MoreER health care providers’ payroll delayed
WOW….. “East Ohio Regional Hospital, a 140-bed facility in Martins Ferry, has notified employees that their pay would be delayed.” Dr. Johnson also told employees the message comes after “exhausting all possibilities for immediate release of funding” on March 7, and that he hopes paychecks will be provided to workers on March 11. He…
Read MoreCMS/Cardinal Health, Novitas Improper Audits and Claw Backs
I represent many health care providers. I also represent health care businesses respond to CMS, Cardinal Health and or Novitas Solutions improper medicare medicaid audits and claw backs. My clients email me these audit letters that are generated through AI data dumping and crunching. This process is authorized through the federal OIG regulations that give…
Read MorePhysician – not Physician’s Assistant – Must See Patients
A St. Louis physician plead guilty in August 2024 to one count of conspiracy. He admitted that while operating St. Louis General Hospital locations in the city and Creve Coeur, Mo., he and his office manager hired assistant physicians (“APs”) to see patients but billed federal healthcare programs as if he had seen them. He…
Read MoreDOJ charges Walgreens Boots Alliance with unlawful dispensation of millions of prescriptions in violation of the Controlled Substances Act — Corresponding Responsibility Violations
Walgreens Boots Alliance and its subsidiaries alleging unlawful dispensation of millions of prescriptions in violation of the Controlled Substances Act.
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