Medicaid fraud

87 In Florida Charged In National Health Care Fraud Crackdown

Jul 14, 2017
U.S. Department of Justice

More than 80 people in Florida were charged in a nationwide crackdown on health care fraud and opioid scams that totaled $1.3 billion in falls billings, according to a release from the U.S. Department of Justice.

WMFE

A businessman accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme in South Florida will be staying in jail until his trial.

A South Florida doctor will spend more than three years in federal prison after pleading guilty to falsely diagnosing hundreds of patients in a Medicare fraud scheme.

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.

Florida Woman Arrested 3 Times For Medicaid Fraud

Feb 16, 2016

A Florida Panhandle woman has been arrested three times in six months on charges related to Medicaid fraud.

Florida Attorney General Pam Bondi says she was wrong to urge the U.S. Centers for Medicare & Medicaid Services to pay for high-priced and unnecessary drug screening tests from a company being investigated for defrauding Florida Medicaid of millions.

Dr. Howard S. Schneider, the pediatric dentist who faced allegations of mistreatment of pediatric patients, was arrested Monday afternoon, charged with 11 counts of Medicaid fraud.

According to jail records, 78-year-old Schneider was booked into the Duval County jail shortly before 4 p.m. on 11 counts of unauthorized Medicaid claims. He was being held on $110,000 bond pending a hearing that likely would take place Tuesday morning.

Broward Health

North Broward Hospital District's Broward Health has offered nearly $70 million to settle allegations the taxpayer-supported health district committed Medicare and Medicaid fraud, the Florida Bulldog reports.

Wikimedia Commons

Covenant Hospice Inc., a non-profit hospice care provider in Southern Alabama and Northwest Florida, will pay more than $10.1 million to the government for overbilling of Medicare, Tricare and Medicaid for hospice services, the Northwest Florida Daily News reports.

A federal judge pressed for further details Monday on the foreign assets of a Florida doctor charged with corruption alongside New Jersey Sen. Bob Menendez, putting off a decision on his bond after nearly eight weeks behind bars.

U.S. Magistrate Judge James Hopkins said he needed to know the value of properties and bank accounts held by Dr. Salomon Melgen in his native Dominican Republic before determining an appropriate bond.

A Jacksonville dentist is being sued after several parents claimed he abused child patients, the Florida Times-Union reports. Four people filed the class-action lawsuit against Howard Schneider, who is under an active investigation by the Florida Attorney General’s Office.

Four people are being charged with Medicaid fraud for allegedly recruiting homeless people to pose as patients.

Florida Attorney General Pam Bondi announced the arrests on Friday.

Bondi's office alleged that the owner of an Orlando clinic and three of her associates would offer gas cards and temporary housing to homeless men and women who then posed as patients.

The Florida Bulldog says questions are being raised about the sale of a non-profit Miami-Dade nursing home undergoing a federal whistleblower investigation.

While the publication claims that last year’s sale of the 104-bed Plaza Health Network facility and adjoining properties netted $3 million for its owner and board chairman, the company disputes the 'misleading' allegations.

Investigators from the Florida Attorney General's office and other agencies searched an Ocala dentist's office Wednesday as part of a Medicaid fraud investigation, the Ocala Star Banner reports.

Broward Health

A prominent Fort Lauderdale cardiologist under investigation for Medicaid and Medicare fraud signed a new contract with Broward Health featuring a pay cut and a new agreement to treat poor patients, the Florida Bulldog reports. 

Florida is going to receive $5.6 million from DaVita HealthCare Partners as part of a national settlement.

Attorney General Pam Bondi announced the settlement on Wednesday.

Bondi said the settlement resolves allegations that DaVita paid illegal kickbacks to in order to get patients sent to its dialysis clinics. The referrals caused false claims to be submitted to the state's Medicaid health care program.

DaVita is headquartered in Denver, Colorado, and has dialysis clinics in 46 states and the District of Columbia.

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. 

A whistleblower’s lawsuit by an ex-Plaza Health Network executive alleges that false claims were submitted to Medicare and Medicaid to the tune of $130 million, the Broward Bulldog reports.

An Orange County man was jailed Tuesday on charges of Medicaid provider fraud and unlicensed health care practice, the Orlando Sentinel reports.

Health care workers across Florida have been arrested this week on charges they broke the law while on the job.

In Escambia County, two assisted living facility supervisors were jailed for refusing mental health workers access to residents, meaning the patients went without treatment for weeks, according to the Pensacola News Journal.

While many didn’t notice Gov. Rick Scott’s line item veto of funding to investigate Medicaid fraud, the chairman of the Criminal & Civil Justice Appropriations Subcommittee certainly did.

An attempt to financially separate WellCare Health Plans from its convicted executives was rejected by a federal appeals court, the News Service of Florida reports.

The 11th Circuit Court of Appeals on Friday ruled that WellCare is not entitled to seek restitution from former Chief Executive Officer Todd Farha, former Chief Financial Officer Paul Behrens and former Vice President William Kale. The trio were convicted of Medicaid fraud and sentenced last month.

Wall Street Journal-Alexia Fodere

Miami’s so-called 'Rock Doc' apologized for his involvement in a Medicare scheme on Friday, but that didn’t stop a federal judge from sending him to prison for six years, the Miami Herald reports.

Two nursing home executives have accepted a plea deal that would ban them from ever taking Florida Medicaid or any federally funded health care payments, the Palm Beach Post reports.

 

Horror stories about botched dental care fill a 21-page affidavit for a Pasco County dentist charged with fraudulently billing Medicaid for the services.

Miranda Smith of Smiles and Giggles Dentistry is accused of more than $140,000 in Medicaid fraud and had her license suspended, the Tampa Bay Times reports.

WellCare Health Plans

Todd Farha, former CEO of WellCare Health Plans, drew a three-year sentence for Medicaid fraud Monday, far below the sentencing guidelines. The judge said Farha has already suffered the loss of his reputation and career and that he is unlikely to repeat his "mistake."

Other former WellCare executives also drew sentences lighter than the guidelines:   former CFO Paul Behrens, two years; William Kale, who led the subsidiary where the fraud took place, one year and one day; and Peter Clay, a former vice president, who received probation.

A Bradenton nursing home has been suspended from Florida’s Medicaid program on charges of fraud, forcing the home's Medicaid patients to be moved on Friday.  
About 25 to 28 Medicaid recipients residing at the Riverfront Nursing and Rehabilitation Center were in the process of moving, according to the Bradenton Herald.  On April 15, Florida’s Agency for Health Care Administration issued an order suspending Medicaid privileges for the nursing facility.   

A federal judge says Florida lost $11 million in 2006 when WellCare executives committed Medicaid fraud, the Tampa Bay Times reports. That amount will influence the sentencing of three WellCare executives who were found guilty in June of Medicaid fraud.  Prosecutors had tried to convince U.S. District Judge James S. Moody Jr.

Efforts to clamp down on health care fraud continue across Florida, different media report.

Troubling allegations continue to emerge that the Naples-based Health Management Associates illegally pressured doctors and hospital staffs to admit and illegally bill Medicaid and Medicare, all in the name of making money.

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