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Tennessee Business Owner Convicted of $35 Million Health Care Fraud
Kestner exerted significant pressure on his staff, frequently sending emails that ranked their "production" and criticized those who fell sh

Stephen Wick
Oct 29, 20243 min read


Veni-Express Inc. Settles False Claims Act Allegations for $135,000
Federal investigators alleged that from 2015 to 2019, Veni-Express and the Steinbaums knowingly submitted false claims to federal health car

Stephen Wick
Oct 24, 20244 min read


ASRC Federal Data Solutions Settles False Claims Act Allegations for $306,722
The breach came to light when AFDS promptly alerted the Centers for Medicare and Medicaid Services (CMS) and collaborated with them to mitig

Stephen Wick
Oct 15, 20244 min read


Lawsuit Filed by 20 States Challenges New Federal Nursing Home Staffing Rule
The lawsuit names key leaders from the federal Health and Human Services agency and the Centers for Medicare and Medicaid Services as defend

Stephen Wick
Oct 13, 20243 min read


Precision Toxicology Settles for $27 Million Over False Claims To Resolve Allegations of Unnecessary Drug Testing & Illegal Remuneration to Physicians
The U.S. government claimed that from January 1, 2013, to December 31, 2022, the company systematically billed federal programs for excessiv

Stephen Wick
Oct 2, 20244 min read


Walgreens to Pay $106.8 Million to Settle False Claims Act Violations Over Unfilled Prescriptions
To prevent future occurrences, Walgreens has made improvements to its electronic pharmacy management system and has self-reported certain ac

Stephen Wick
Sep 15, 20244 min read


Claims Act Filed Against Erlanger Health System
The complaint claims that Erlanger's employment relationships with several physicians failed to meet any Stark Law exceptions because the co

Stephen Wick
Jul 28, 20244 min read


Tennessee Podiatrist Convicted of Defrauding Medicare and TennCare in Foot Bath Fraud Scheme
From October 2018 to September 2021, Lucas's pharmacies submitted almost $4 million in claims to Medicare and TennCare for dispensing costly

Stephen Wick
Jul 2, 20243 min read


Two New Yorkers Found Guilty of Taking Part in an $18M Money Laundering Plot & Committing Fraud Related to COVID-19 Health Care
Exploiting the urgency of the COVID-19 crisis, they shamelessly manipulated COVID-19-related billing codes to make deceitful claims for exp

Stephen Wick
Jun 25, 20244 min read


U.S based Medical Treatment Provider to Pay Over $14.9 Million to Settle Alleged False Claims
The settlement addresses allegations that from January 1, 2015, to December 31, 2019, Bluestone knowingly submitted claims for two E&M codes

Stephen Wick
Jun 11, 20245 min read


Five Men Posse held by Lady Justice for Swindling Over $15M from Medicare Through Feigned Hospices and Money Laundering
The defendants fraudulently used doctors' identifying information to submit false claims to Medicare, falsely stating that hospice services

Stephen Wick
Jun 10, 20244 min read


Guilty Plea in $27 Million Medicare Fraud Case Involving Cancer Genomic Tests
Medicare did not cover CGx testing for beneficiaries who did not have cancer or lacked symptoms of cancer. Where a CGx test was procured thr

Stephen Wick
May 28, 20246 min read


AI-generated images and its increasingly prevalent influence on social media platforms
Some content creators were innocently trying to expand their audiences with artificial content; fraudsters were using pages taken from small

Stephen Wick
May 22, 20242 min read


Alleged $70M Medicare Fraud Scheme Organized By Medical Equipment Company Owner
French faces charges including conspiracy to defraud the United States and engage in illegal health care kickbacks, conspiracy to commit hea

Stephen Wick
Apr 17, 20244 min read


NY-Presbyterian/Brooklyn Methodist Hospital Resolves Health Care Fraud by Paying $17.3 M to Settle Claims of Unlawful "Kickbacks" in Old Contracts with Physicians at a Chemotherapy Infusion Center
During the investigation of New York-Presbyterian/Brooklyn, it was discovered that physicians at a chemotherapy infusion center affiliated w

Stephen Wick
Mar 27, 20244 min read


Laura Perryman, a Former CEO of a Stimwave, has been found Guilty of Manufacturing & Distributing a Counterfeit Component that was Implanted into Unsuspecting Patients
To maintain the deception that the White Stylet was functional, PERRYMAN oversaw training that implied to doctors that the White Stylet was

Stephen Wick
Mar 13, 20246 min read


Medical Doctor Alexander Baldonado, 68, of Queens, New York Charged for Allegedly Defrauding Medicare & Medicaid For Over $20.7million and Illegal Kickback Schemes
Baldonado faces charges including conspiracy to commit health care fraud, health care fraud, conspiracy to defraud the United States and pay

Stephen Wick
Mar 1, 20243 min read


Mathew James, 54, of East Northport, Sentenced for $336M Health Care Fraud, Wire Fraud & Identity Theft Scheme
James instructed his doctor-clients to schedule elective surgeries through the emergency room to ensure substantially higher reimbursement r

Stephen Wick
Feb 5, 20244 min read


Taking A Proactive Stance, Attorney General Brown Steps in to Defend Dreamers and Ensure The Preservation of the DACA Program
The case before the Fifth Circuit stems from a lawsuit initiated by Texas and eight other states seeking the complete termination of the DAC

Stephen Wick
Feb 2, 20245 min read


Dr. Oscar Lightner, 73,& Andres Martinez Jr., 29, of Jomori Health& Wellness Sentenced For Pill Mill
On April 11, both Lightner and Martinez were found guilty of unlawfully distributing and dispensing controlled substances, as well as conspi

Stephen Wick
Dec 13, 20233 min read
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