health care fraud

WMFE

A former NFL and University of Florida football player has been sentenced to nearly 22 years in prison for a health care fraud scheme that prosecutors say bilked the federal government out of about $20 million.

Doctor Faces 10 years In Prison For Medicare Fraud

Mar 7, 2016

A South Florida doctor accused of falsely diagnosing hundreds of patients as part of a Medicare fraud scheme has pleaded guilty.

WMFE

One of the nation’s largest drug testing laboratories will pay $256 million to settle allegations it over-billed the U.S. government for urine drug tests. The Justice Department found that Millennium Health billed the government for unnecessary urine drug tests and genetic testing.

Wikimedia Commons

A Miami doctor is facing two federal fraud conspiracy charges for his alleged role in a $20 million Medicare fraud scheme run by a health care company.

The former chief operating officer for the Hollywood Pavilion psychiatric hospital was sentenced to six years in federal prison for his role in a $67 million health care fraud scheme, the South Florida Sun Sentinel reports.

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. 

A lawsuit filed against Tampa’s Laser Spine Institute alleges the center offered illegal incentives to entice patients to have surgery there, Bloomberg Businessweek reports. In a lawsuit filed in Hillsborough County Circuit Court, the owner of competitor Bonati Institute also accuses the spine-surgery competitor of interfering with business by using “secret shoppers.”   

HealthCare.gov

The government’s own watchdogs tried to hack into HealthCare.gov earlier this year and found what they termed a critical vulnerability — but also came away with respect for some of the health insurance site’s security features.

Those are among the conclusions of a report being released Tuesday by the Health and Human Services Department inspector general, who focuses on health care fraud.

Medicare Scam Fugitive Now Most Wanted

Jul 8, 2014
HHS

 A Miami man has been added to federal health officials' list of most wanted fugitives.

Sandy De La Fe was indicted last year on charges of conspiracy to commit health care fraud and health care fraud. Investigators say De La Fe owned a Miami pharmacy and participated in a prescription drug fraud scheme that bilked Medicare out of millions of dollars.

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.