Patient dumping represents one of the darker sides of the medical profession. Physicians take the Hippocratic Oath promising they “will apply, for the benefit of the sick, all measures [that] are required.” Unfortunately, hospital administrators don’t take the same oath. These days many seem to care more about the hospital’s financial health rather than the […]
Supreme Court May Take Up False Claims Act Appeal
The United States Supreme Court is considering hearing an appeal of the dismissal of a False Claims Act case. Noel Nathan was a sales manager employed by Takeda Pharmaceuticals. He claimed his employer was committing Medicare fraud by overprescribing prescription antacids. A federal judge in Virginia dismissed his complaint saying that Nathan did not plead […]
Hospice Owner Convicted In $14 Million Medicare Fraud
The owner of a Pennsylvania hospice care business, Matthew Kolodesh, was convicted of Medicare fraud. Jurors found he billed Medicare for over $14 million in claims for patients that were not eligible to receive Medicare benefits. In many cases, the services were billed but never provided. Prosecutors say that Kolodesh spent $9.6 million of hospice […]
Healthcare Fraud Defendant Bought 20 Cars With Tax Dollars
Prosecutors claim Regina Swims-King defrauded the federal Medicare program out of millions of dollars. She was charged with several counts of healthcare fraud earlier this year but the indictment was sealed and only last week did more details about her alleged spending spree using tax dollars emerge. According to the indictment, Swims-King owns Angelic Hospice, […]
Feds Take Ambulance Company Owners For A Ride – Health Care Fraud
Earlier this month, a federal judge in Philadelphia sentenced Aleksandr N. Zagorodny, 40, to 78 months in prison for a health care fraud scheme involving MedEx Ambulance, Inc. He was the former president of the business. His brother, Sergey Zagorodny, 36, was sentenced to 5 years in prison for his involvement in the health care […]
Wisconsin Lawyer & Physician Sanctioned in Medicaid Fraud Case
A Wisconsin lawyer and physician have both been admonished for their actions in a Medicaid fraud case (whistleblower suit) pending in a Milwaukee federal court. The lawyer on the case, Rebecca Geitman, was ordered to pay attorneys fees of $26,000. Those sanctions and fee awards unfortunately threaten to overshadow the larger and important legal issues […]
Health Care Fraud – Feds Arrest 75 People
Health care fraud costs Americans $80 billion per year according to the FBI. And the cost is rising! The feds can’t lock up the culprits fast enough – if they can even find them. Law enforcement officials in Puerto Rico are trying to make a dent; the Justice Department announced that 75 people were arrested in […]
Anatomy of a False Claims Act Lawsuit
Recently we wrote about the record false claims act (whistleblower) award paid to pharmacist T. Mark Jones an his company Ven-A-Care. The sheer size of the awards – $597,000,000.00 is itself newsworthy and an inspiration to whistleblowers everywhere. Every time we write about a false claims act case, we get questions from readers. In this […]
Heads on Beds – Assisted Living Facility Whistleblowers Post
[Post Updated through 2019] Whistleblowers play a critical role in the fight against rising healthcare costs. The biggest area of fraud – one that costs the government billions of dollars in fraud annually – is the Medicare program. Because Medicare is subsidized with tax dollars, healthcare providers that bill for unnecessary or poor quality services […]
No Show Doctor Convicted of Medicare Fraud – Whistleblower Post
New York physician Gustave Drivas was convicted of federal Medicare fraud following a trial in a Brooklyn federal court. He faces 20 years when sentenced later this summer. Medicare fraud costs taxpayers billions each year. Thankfully many of these crimes are solved by whistleblowers. According to court records, Drivas was affiliated with a clinic in […]