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A former NFL player received a 196-month prison sentence for running a $197 million Medicare fraud scheme. He owned a marketing company and controlled eight durable medical equipment companies that sold patient data and fake doctors’ orders for unnecessary orthotic braces. The scheme defrauded Medicare and the Department of Veterans Affairs' CHAMPVA program
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Three Illinois nursing facilities agreed to pay $300,000 to resolve allegations of violating the False Claims Act. The facilities submitted or caused submission of false claims to Medicare and Medicaid for unnecessary rehabilitation services.
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Poul Thorsen, a Danish autism researcher and former fugitive on the U.S. Health and Human Services Office of Inspector General’s most wanted list, was extradited from Germany and arraigned on federal wire fraud and money laundering charges. The case involves allegations of financial crimes linked to research funding and misuse.
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A FOX 26 report exposed suspected Medicare fraud involving costly catheter claims. The investigation triggered numerous complaints from individuals billed for supplies they did not receive. The report has increased scrutiny of unauthorized Medicare claims related to medical devices.
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A Michigan man pleaded guilty to defrauding health care benefit programs, including Medicare and Medicaid, by billing for prescription medications that he never dispensed and providing unlawful prescriptions of oxycodone to drug traffickers in exchange for cash. The scheme, which occurred from 2019 through 2022, involved a pharmacy technician at three
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Purdue Pharma LP was sentenced to pay over $5 billion in criminal penalties for its role in fueling the opioid epidemic. The company was accused of prioritizing profits over patient health and safety, and willfully ignoring the diversion of its highly addictive prescription drugs.
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3 coverage signals
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Active litigation
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A former senior official at the National Institute of Allergy and Infectious Diseases (NIAID) has been indicted. The charges involve concealing federal records during the COVID-19 pandemic. The indictment relates to efforts to evade Freedom of Information Act (FOIA) requests concerning research grants.
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Active litigation
Court unknown
(MNI), a provider of mobile positron emission tomography (PET) scans, has agreed to pay a total of $8,334,350.71 to resolve False Claims Act allegations that it paid referring cardiologists excessive fees to supervise PET scans in violation of the Anti-Kickback Statute (AKS). This settlement is based on MNI’s ability to pay. The case highlights the
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