fraud

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The Reflections treatment center looked like just the place for Michelle Holley's youngest daughter to kick heroin. Instead, as with dozens of other Florida substance abuse treatment facilities, the owner was more interested in defrauding insurance companies by keeping addicts hooked, her family says.

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A cancer doctor in Florida has been sentenced to more than five years in federal prison for using unauthorized and misbranded drugs for her patients.

Agency For Health Care Administration

A Florida health care administrator accepted bribes in exchange for helping a nursing home owner accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme keep his license, federal prosecutors said.

A South Florida drug treatment provider will spend the next 27.5 years behind bars for operating a multimillion-dollar health care fraud and sex trafficking scheme.

U.S. District Judge Donald Middlebrooks handed down the sentence Wednesday at the Federal Courthouse in West Palm Beach. Kenneth “Kenny” Chatman, 47, of Boynton Beach, pleaded guilty in March to the charges.

Assistant U.S. Attorney Marie Villafaña said Chatman was a relatively small provider in the drug treatment industry, but he was, “the most dangerous.”

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Nine people are headed to federal prison after pleading guilty to a South Florida-based, $172 million scheme involving fraudulent medications.

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Federal prosecutors say a northeast Florida man will serve 18 months in federal prison after he pleaded guilty to stealing nearly a quarter million dollars in government benefits.

A Jacksonville compounding pharmacy and four Jacksonville doctors who partnered to run a second pharmacy have settled with the federal government over allegations they defrauded the military’s health care program, TRICARE.

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A fall 2017 trial date is set for a South Florida businessman accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme.

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A Colombian national accused of pretending to be a doctor in South Florida and injecting silicone into his patients too as part of cosmetic procedures has pleaded guilty to several charges.

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Eight people face charges after authorities say they received $157 million in fraudulent insurance claims as part of a scheme involving prescription compounding pharmacies in Pasco County and the Miami area.

Between Oct. 2012 and Dec. 2015 the suspects are accused of submitting $633 million in fraudulent reimbursement claims for prescription compounded medication to Medicare, Tricare and private insurance companies, authorities said.

More Than 100 Charged In Florida In Health Care Fraud

Jun 22, 2016
U.S. Department of Justice

In what the U.S. Department of Justice described as an "unprecedented nationwide sweep," more than 100 people in Florida have been charged with crimes related to Medicare and Medicaid fraud, the federal agency announced Wednesday. 

Arrests Target Food-Stamp Trafficing In Miami-Dade

May 13, 2016
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State and federal authorities said this week that 22 people have been arrested in South Florida and charged with fraudulently receiving more than $13 million through food-stamp trafficking.

The people arrested were small retail vendors, with fraudulent transactions alleged to have occurred at the Opa-Locka Hialeah Flea Market.

The case focuses on the federal Supplemental Nutrition Assistance Program, which is better known as food stamps.

Scott Suspends Broward Hospital Board Members Amid Probe

Mar 20, 2016
Broward Health

Gov. Rick Scott on Friday suspended two board members, including the chairman, of the North Broward Hospital District because of concerns about interference in an inspector general's investigation of possible wrongdoing at the district.

Insurance giant Humana Inc., which operates some of the nation's largest private Medicare health plans, knew for years of billing fraud at some South Florida clinics but did little to curb the practice even though it could harm patients, a doctor alleges in a newly unsealed whistleblower lawsuit.

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Malachi Love-Robinson had all the trappings of a medical practice — an office, a lab coat and stethoscope.

What he didn't have, authorities say, was a medical license — few 18 year olds do.

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Rose Radiology Centers Inc. has agreed to pay $8.71 million to resolve claims of false billing and kickbacks revealed in two whistleblower lawsuits, according to a news release from the U.S. Attorney's Office for the Middle District of Florida.

Lawmakers put the brakes on a Medicaid reimbursement plan this week after Attorney General Pam Bondi attended the bill’s first committee hearing to speak against it.

Federal prosecutors say the nation's largest nursing home rehabilitation therapy provider has agreed to pay $125 million to resolve a lawsuit that alleged it knowingly had nursing homes submit false Medicare claims.

Questionable salaries of several Broward Health cardiologists is a central complaint in a whistleblower lawsuit that led to a recent $69.5 million settlement, the South Florida Sun Sentinel reports. The federal government challenged the hours reported by “medical directors” at Broward Health, according to the Sun Sentinel.

The U.S. Chamber of Commerce says Florida’s lawsuit climate is among the worst in the nation—for businesses. The business lobby association is pushing state legislators to crack down on trial lawyers—including one big name in the industry.

Psssst — Need a phony ID? A fraudulent tax refund? Insurance money from a sham car crash? Florida may have just what you're looking for.

Since the first settlers hacked their way into the mangrove tangles and drained much of the swampland, sunny South Florida has been virtually synonymous with shady deals and scams.

Under a plea deal with the U.S. Department of Justice, a Miami pharmacist has pleaded guilty to one count of health care fraud for his role in submitting more than $1.8 million in false claims to Medicare, according to a news release from the DOJ. Evelio Fernandez Penaranda, the owner of  Naranja Pharmacy Inc., admitted to submitting claims for Medicare beneficiaries and doctors without their consent.

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 A Florida oncologist was charged Thursday with giving cancer patients medications, including chemotherapy drugs, from other countries that were not approved by the federal Food and Drug Administration.

A Jacksonville dermatology clinic accused of billing Medicare for cosmetic procedures that were not medically necessary has reached a settlement with federal investigators, the Florida Times-Union reports. 

Federal authorities haven’t publicly accused taxpayer supported Broward Health of submitting bogus claims to Medicare and Medicaid, but the health system still has racked up a $10.2 million tab for legal advice, the Florida Bulldog reports.

U.S. Department of Justice

A doctor who ran clinics in Boynton Beach and Delray Beach has been indicted on eight counts of fraud, the Palm Beach Post reports. 

Dr. Isaac Kojo Anakwah Thompson defrauded Medicare when he submitted fraudulent diagnoses to the Humana HMO network for Medicare Advantage beneficiaries and received $2.1 million in excess fees as a result of the scheme, according to the Post.

An Orlando man is facing 37 charges for taking $1.8 million from investors. Gus Papathanasopoulos, Founder and CEO of Neofat Industries Inc., is in custody in a hospital bed because of an undisclosed health condition.

His company had a patented process to combine vegetable and coconut oils, billed as a health product. Papathanasopoulos sold $1.8 million worth of stock starting in 2002. State officials say Papathanasopoulos loaned himself $1.3 million from the company and then forgave the loans as CEO.

St. John's County

Former employees of a medical clinic accuse the St. Johns County Commissioner and his mother of improperly billing for nearly 40 Medicaid patients, illegally storing controlled substances and forging prescriptions, the Florida Times-Union reports. 

The veteran business executive hired by Florida Healthcare Plus is trying to repair the image of the firm after six former employees were indicted for their role in an international, $25 million Medicare and Medicaid scam, the Miami Herald reports.

In an interview, Susan Rawlings Molina says no one else at the company knew about the fraud, except for the ex-employees who are now facing charges. Only the former workers, not the company, are accused of wrongdoing.

A Tampa man has been sentenced to 11 years in prison for his part in a $28.3 Medicare fraud scheme, the Tampa Bay Business Journal reports.  In his guilty plea, Luis Duluc admitted to using physical therapy clinics and other businesses to submit false claims to Medicare. He was also ordered to pay $14.4 million in restitution, according to the Business Journal. 

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