health care fraud News

Pharmacist Gets 10 Years For $180M Health Care Fraud Scheme

JACKSON, Miss. (AP) — Federal prosecutors say a former Mississippi pharmacist has been sentenced to the maximum 10 years in prison for a $180 million health insurance fraud scheme involving unnecessary prescriptions for expensive pain creams and other medications. Mitchell …

Insurers Lost $2M in Pain Cream Scam, Prosecutors Say

A former medical supply executive in Arkansas who conspired with physicians to dispense pain creams and patches to workers’ compensation claimants defrauded private insurers out of about $2 million and the federal government out of $3.9 million, federal prosecutors say. …

Imprisoned Texas Doctor Gets Another 7 Years for ‘Pill Mill’ Case

A North Texas doctor already in federal prison for healthcare fraud has been given an additional seven years for running a clinic that authorities have called a “pill mill.” Nicholas Padron was sentenced Wednesday after admitting to one count of …

2 Connecticut Chiropractors Face Sentencing for Fraud

Two chiropractors face sentencing for falsifying medical records. Jennifer Lynne of Milford and George DeCarvalho of Stamford, Conn., are scheduled to be sentenced Tuesday in federal court in Bridgeport. DeCarvalho pleaded guilty to conspiracy to commit health care fraud while …

Durable Medical Equipment Fraud on the Rise: NICB

Durable medical equipment (DME) fraud could fall between $1.5 and $5 billion in a single year, according to a new report by the National Insurance Crime Bureau (NICB). The report examines questionable claims (QC) referred to the NICB during the …

Maine Man Gets Prison Term for Insurance Fraud

The owner of a Maine medical equipment supply company has been sentenced to 2 1/2 years in prison for health care fraud and for lying on an application for a loan from the U.S. Small Business Administration. Peter Enzinger was …

Iowa Woman Indicted For $700,000 Health Care Fraud

The owner of an Iowa counseling center has been indicted on charges that she defrauded the federal government and health insurance companies out of more than $700,000 by claiming reimbursement for services never performed. Angela Ellison of Centerville made her …