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...
Federal Crimes
HOSPITAL 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...
CMS 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...
DO 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...
Act 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://www.phila-criminal-lawyer.com/drug-act-issues/felony-drug-convictions/ However, in 2020, a new law came into effect. Act 53 of...
ER 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,...
CMS/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...
Physician – 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...
DOJ 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.
Physician Fraud and Kick backs
"A New York doctor was found guilty yesterday by a federal jury for causing the submission of over $24 million in fraudulent claims to Medicare for medically unnecessary laboratory tests and orthotic braces." Baldonado authorized hundreds of cancer genetic tests for...