Healthcare Fraud

Pharmacy owner pleads guilty to paying nursing homes for unused meds in $2 million scheme

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A pharmacy owner in Louisiana bribed nursing home workers to return unused medications, then repackaged and resold them, according to allegations in a $2.2 million Medicare fraud case, state and federal authorities recently announced.

Technology helps anti-fraud efforts, but some say it's still not enough

Technology helps anti-fraud efforts, but some say it's still not enough

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Federal officials testified Tuesday at a Senate hearing that they have made significant strides in cracking down on healthcare fraud and abuse, though at least one prominent Republican said that not enough has been done.

Federal officials crack $375 million home healthcare fraud scheme

Federal officials crack $375 million home healthcare fraud scheme

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Federal officials have brought down what they said is the largest home health fraud scheme ever concocted. The Centers for Medicare & Medicaid Services said around $375 million was billed incorrectly to Medicare and Medicaid, and announced the suspension of 78 home health agencies associated with physician Jacques Roy, M.D., of Rockwall, TX.

Odyssey to pay $25 million in settlement

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Odyssey Hospice has agreed to pay the U.S. Department of Justice a cash settlement of $25 million. Odyssey, which was acquired in 2010 by Gentiva Health Services, was investigated by the DOJ for continuous care services given between Jan. 1, 2006 and Jan. 22, 2009.

Was it something she said? 'Speech therapist' sent to prison, fined

A North Carolina woman who posed as a licensed speech therapist in two assisted living facilities has been sentenced to 34 months in prison for committing Medicare fraud.

Feds target individuals, not just companies, in healthcare fraud cases

In an effort to crack down on healthcare fraud repeat offenders, the federal government is going after individuals at nursing home chains, drug companies, medical device manufacturers and other providers that receive Medicare and Medicaid funding, according to the Associated Press.