Houston physician gets 3-year prison term for fraud

http://www.beckershospitalreview.com/legal-regulatory-issues/houston-physician-gets-3-year-prison-term-for-fraud.html

Fraud

Former Pacific Hospital CEO and son guilty in $600M fraud scheme

http://www.beckershospitalreview.com/legal-regulatory-issues/former-pacific-hospital-ceo-and-son-guilty-in-600m-fraud-scheme.html

Healthcare Corruption

Consulting firm president gets 5-year prison term for role in kickback scheme

http://www.beckershospitalreview.com/legal-regulatory-issues/consulting-firm-president-gets-5-year-prison-term-for-role-in-kickback-scheme.html

Fraud2

According to evidence presented at trial, Mr. Nerey referred Medicare beneficiaries to two home healthcare companies in return for kickbacks. Some of the patients he referred did not qualify for home healthcare services. Mr. Nerey was involved in the kickback scheme from October 2014 to September 2015, according to the DOJ.

In addition to his prison term, Mr. Nerey was ordered to pay more than $2.3 million in restitution.

Former healthcare CFO charged with bribery, fraud

http://www.beckershospitalreview.com/legal-regulatory-issues/former-healthcare-cfo-charged-with-bribery-fraud.html

Fraud

A federal grand jury returned a 47-count indictment Tuesday against the former CFO of a Medicaid-funded behavioral health system in North Carolina, according to the Department of Justice.

The indictment charged William Canupp, former CFO of Beulaville, N.C.-based Eastpointe Human Services, with conspiracy, bribery, organization fraud, wire fraud and money laundering. Eastpointe manages the public sector behavioral health system for several counties in Eastern North Carolina.

Individual liability, physician compensation among top fraud concerns

http://www.fiercehealthpayer.com/antifraud/story/individual-liability-physician-compensation-among-top-fraud-concerns/2016-03-21?utm_medium=nl&utm_source=internal&mrkid=lead.Id&mkt_tok=3RkMMJWWfF9wsRokuKrKde%2FhmjTEU5z14ukkX6a2lMI%2F0ER3fOvrPUfGjI4HRcJjPK%2BTFAwTG5toziV8R7LMKM1ty9MQWxTk

Fraud

Click to access Healthcare_Fraud_2015.pdf

Kickbacks, Bribes, and the Horrifying Truth Behind California’s Largest Medical Fraud Scandal

http://www.lamag.com/longform/kickbacks-bribes-and-the-horrifying-truth-behind-californias-largest-medical-fraud-scandal/

L to R: Michael Drobot, Tom Calderon, and Ron Calderon

Long Beach hospital owner Michael Drobot spent decades bilking the state of millions for unnecessary surgeries with allegedly bogus hardware, and plenty of doctors went along with him – See more at: http://www.lamag.com/longform/kickbacks-bribes-and-the-horrifying-truth-behind-californias-largest-medical-fraud-scandal/#sthash.flf2d3Ck.dpuf

 

Warner Chilcott to pay $125 million over kickback scheme, former drug company officials indicted

http://www.healthcarefinancenews.com/news/warner-chilcott-pay-125-million-over-kickback-scheme-former-drug-company-officials-indicted?mkt_tok=3RkMMJWWfF9wsRovuKnPZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4ATMNkMa%2BTFAwTG5toziV8R7nHLs161sIQWRjg

Whistleblowers net $22.9 million for exposing drug company’s fraud.

Aetna hit with counterclaims by ‘hotel-like’ hospital in $120M kickback lawsuit

http://www.beckershospitalreview.com/legal-regulatory-issues/aetna-hit-with-counterclaims-by-hotel-like-hospital-in-120m-kickback-lawsuit.html

Looking Glass and Money

Former CFO of Chicago hospital sentenced to 1 year in prison

http://www.beckershospitalreview.com/legal-regulatory-issues/former-cfo-of-chicago-hospital-sentenced-to-1-year-in-prison.html

George Washingtons Eyes