tag:blogger.com,1999:blog-7125545122445319382012-02-13T12:30:27.394-08:00We have ignored the Healthcare System in our country for decades and look where we are! Our Ignorance and tolerance of the so-called Market Driven Health Care has resulted in Disaster! The biggest culprit, those Corporate Executives , Insurance Companies,Lobbyists and our lawmakers, the politicians. All equally guilty of GREED! Although our government and the laws written have allowed an open door to Fraud, it is time to bring the Corporate Criminals & Politicians to Justice.Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.comBlogger4421100tag:blogger.com,1999:blog-712554512244531938.post-71083556893752264442009-07-22T09:52:00.001-07:002009-07-22T09:52:43.185-07:00

For Immediate ReleaseJuly 17, 2009 United States Attorney's OfficeSouthern District of Texas Contact: (713) 567-9000 Two Houston Area Doctors Charged in Conspiracy to Illegally Distribute Narcotics and Medicare/Medicaid Fraud HOUSTON—Dr. Arun Sharma and his wife, Dr. Kiran Sharma, M.D., both 54, have been charged in a 29-count indictment alleging conspiracy to unlawfully dispense and distribute

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com57tag:blogger.com,1999:blog-712554512244531938.post-1465629994077078012009-07-15T16:30:00.000-07:002009-07-15T16:32:39.642-07:00

President – Organizing for AmericaRemember 1997? Balanced Budget Act of 1997- In 1997, HCA (Hospital Corporation of America) – was the LARGEST HOME HEALTH CARE Company in our country. HCA Inc. (formerly known as Columbia/HCA and HCA - The Healthcare Company) Note: Hospital Corporation of America (HCA) was acquired by Columbia in 1994. Columbia/HCA was a partnership of financier Richard Rainwater

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-91918051973719919252009-07-15T16:28:00.000-07:002009-07-15T16:29:59.596-07:00

http://www.pbs.org/moyers/journal/07102009/profile.htmlJuly 10, 2009Last month, testimony in front of the U.S. Senate Committee on Commerce, Science and Transportation by a former health insurance insider named Wendell Potter made news even before it occurred: CBS NEWS headlined: "Cigna Whistleblower to Testify." After Potter's testimony the industry scrambled to do damage control: "Insurers

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-10857804746028491912009-06-29T05:47:00.000-07:002009-06-29T05:50:55.311-07:00

June 28, 2009 by Robert David Malove EIGHT MORE MIAMI-AREA RESIDENTS CHARGED IN $22 MILLION MEDICARE FRAUD SCHEME INVOLVING HOME HEALTH CARE MIAMI, FL (June 26) - Gladys Zambrana, Javier Zambrana, Enrique Perez, Alejandro Hernandez Quiros aka Alex Hernandez, Vanessa Estrada, Vicenta Tellechea, Modesto Hidalgo and Carlos Castaneda were indicted in connection with an alleged $22 million Medicare

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-38948524342466592662009-06-19T06:56:00.000-07:002009-06-19T06:58:44.601-07:00

By JACK HEALYPublished: June 18, 2009 Four years ago, Richard M. Scrushy, the former chief executive of HealthSouth, walked out of a federal courthouse in Alabama and thanked God that he had been acquitted of criminal charges that he defrauded the company. But on Thursday, a state judge still found Mr. Scrushy responsible for the fraud and ordered him to pay $2.9 billion to the company’s

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-14165527058188787252009-05-28T05:58:00.000-07:002009-05-28T06:00:33.336-07:00

Conservatives for Patients' Rights commercial with the Doctor in England?2008--- HCA InternationalWelcome to London's leading private hospitals- HCA InternationalWhy we are London's No. 1 private hospital group- HCA International� More than 3,000 top London and UK specialists in private practice- HCA InternationalNo. 1 private hospital?- HCA InternationalThis is what STUPID AMERICA gets:LARGEST

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com2tag:blogger.com,1999:blog-712554512244531938.post-1224218391471671302009-05-28T05:56:00.000-07:002009-05-28T05:58:06.780-07:00

Leo Wise , now at the ethics CBO said:"Ladies and gentlemen, this is a case of staggering fraud," 'It is one of the largest frauds the FBI has ever investigated.Then- low and behold: December 18, 2008 The ONLY acquittal; James K Happ!...belief that federal prosecutors had not done their job, the juror said. In 2002 FBI raided the offices of National Century Financial Enterprises in Dublin,

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-84207105322560037262009-05-28T05:52:00.000-07:002009-05-28T05:56:01.688-07:00

2009-The Wall Street Journal reported that Richard Scott, "the former chief executive of HCA Inc," had formed the non-profit organization Conservatives for Patients' Rights as part of a "lobbying campaign to derail or modify" President Obama's health care proposals, but failed to note that Scott resigned from HCA in 1997 amid a federal investigation into the company's Medicare billing, physician

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-38436799623983974512009-05-28T05:46:00.000-07:002009-05-28T05:52:35.413-07:00

December 2008, are you aware of the largest private financial fraud case in our country's history?National Century Financial Enterprises:“This case is one of the largest corporate fraud investigations involving a privately held company headquartered in small town America,” said Assistant Director Kenneth W. Kaiser of the FBI Criminal Investigative Division. 3/9/2006- 10-K SEC Filing, filed by J P

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-66569091640700828592009-05-08T08:40:00.000-07:002009-05-08T08:43:47.533-07:00

Elmwood Park, IllinoisDoctor pleads guilty to health care fraudMay 7, 2009 11:03 PM A 47-year-old Elmwood Park doctor pleaded guilty this afternoon to federal health care fraud charges, admitting he submitted hundreds of thousands of dollars in false health insurance claims, the Chicago Sun-Times reports.Dr. Otto Garcia Montenegro admitted he submitted about $500,000 worth of phony insurance

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-88565132073551095902009-04-28T13:42:00.000-07:002009-04-28T13:43:55.615-07:00

New Commercial for Richard ScottConservatives for Patients' Rights Remember who Richard is:The Epitome of Fraud- Waste-Abuse: 2009 - WSJ reported that Richard Scott, "the former CEO of HCA Inc," had formed the non-profit organization-Conservatives for Patients' Rights as part of a "lobbying campaign to derail or modify" health care reform.non-profit? What a joke. Not this thief: THURSDAY, JUNE 26

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com8tag:blogger.com,1999:blog-712554512244531938.post-42794144579626315632009-04-27T09:12:00.000-07:002009-04-27T09:14:21.642-07:00

Two medical offices got surprise visits today from federal agents. That’s because two doctors are being investigated for major healthcare fraud.U.S. Attorney Donald Schmid says for over a year, federal authorities have been investigating Dr. Jamie Gottlieb and Dr. Cameron Gilbert. Schmid says the doctors are suspected of health care billing fraud, improper patient referrals and illegal kickbacks

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com1tag:blogger.com,1999:blog-712554512244531938.post-4060569659521023242009-04-23T06:40:00.000-07:002009-04-23T06:43:57.563-07:00

For Immediate ReleaseApril 22, 2009 United States Attorney's OfficeSouthern District of Indiana Contact: (317) 226-6333 Indiana Man Sentenced for Medicaid FraudTimothy M. Morrison, United States Attorney for the Southern District of Indiana, and Greg Zoeller, Indiana Attorney General, announced that DENNIS LENNARTZ, 55, Anderson, Indiana, was sentenced to 43 months imprisonment today by U.S.

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-83476477236803636202009-04-15T10:50:00.000-07:002009-04-15T10:51:50.006-07:00

A federal judge has sharply criticized a Miami forensic accountant overseeing a massive forfeiture stemming from a health care fraud, saying she placed her firm's financial interests ahead of her role as court-appointed receiver.U.S. District Court Judge B. Avant Edenfield in Savannah, Ga., also criticized Miami-based Rachlin, saying the firm purposely refused to file tax returns until it was

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-90200375080443695662009-04-15T10:45:00.000-07:002009-04-15T10:46:23.533-07:00

Federal Judge Raps Court-Appointed Receiver for Conflict of InterestApril 15, 2009A federal judge has sharply criticized a Miami forensic accountant overseeing a massive forfeiture stemming from a health care fraud, saying she placed her firm's financial interests ahead of her role as court-appointed receiver. The judge also criticized Miami-based accounting firm Rachlin, which, with the receiver

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-74017300861755387402009-04-11T12:53:00.000-07:002009-04-11T12:56:23.850-07:00

October, a federal jury found Urciuoli guilty of conspiracy and 35 counts of mail fraud.Not a bad deal.....News Release U.S. Department of Justice United States Attorney District of Rhode IslandFOR IMMEDIATE RELEASEApril 10, 2009WWW.USDOJ.GOV/USAO/MAContact: Thomas ConnellPHONE: 401-709-5032 E-MAIL: Thomas.connell@usdoj.govFORMER HOSPITAL OFFICIAL URCIUOLI IS SENTENCED FOR CORRUPTLY HIRING A

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com1tag:blogger.com,1999:blog-712554512244531938.post-62302612415039104012009-04-05T08:07:00.000-07:002009-04-05T08:09:24.176-07:00

FOR IMMEDIATE RELEASEMARCH 30, 2009WWW.USDOJ.GOV/USAO/MACONTACT: CHRISTINA DiIORIO-STERLINGPHONE: (617)748-3356E-MAIL: USAMA.MEDIA@USDOJ.GOVPHARMACEUTICAL COMPANY MANAGER PLEADS GUILTY TO OFF-LABEL MARKETINGBOSTON, MA - A Branchburg, NJ, woman agreed to plead guilty to violating the Food, Drug and Cosmetic Act, for marketing the drug Bextra for uses and dosages that were not approved by the Food

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-57964055610628445542009-03-05T11:40:00.000-08:002009-03-05T11:41:27.410-08:00

Medical Mutual of Ohio catches $6.2 million in fraudulent claimsPosted by Sarah Jane Tribble/Plain Dealer Reporter January 07, 2009 18:20PMCategories: Business Impact, Impact, Insurance, Real Time News, Sarah Jane TribbleUpdated at 6:20 p.m. Medical Mutual of Ohio, the state's largest health insurer, said it caught a record $6.2 million in fraudulent health-care claims last year, up from nearly

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-45891377810171705682009-03-03T07:24:00.001-08:002009-03-03T07:24:52.627-08:00

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-25868126859310854332009-03-03T07:21:00.000-08:002009-03-03T07:24:13.216-08:00

BIRMINGHAM, Ala., March 2 /PRNewswire-FirstCall/ -- HealthSouth Corporation (NYSE: HLS) today announced it will participate in the Barclays Capital Global Healthcare Conference on March 10-11, 2009, at the Loews Miami Beach Hotel in South Beach, Fla.HealthSouth President and Chief Executive Officer Jay Grinney and Executive Vice President and Chief Financial Officer John Workman will be speaking

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-50404599322615626022009-02-25T14:05:00.000-08:002009-02-25T14:07:13.865-08:00

Health Care Fraud Fugitive Gets 27 MonthsPOSTED: 2:56 pm MST February 24, 2009UPDATED: 3:22 pm MST February 24, 2009PHOENIX -- A former Phoenix woman was sentenced to 27 months in federal prison Monday, according to the U.S. Attorney’s Office.Sheri Dawn Blackburn, 46, was also ordered to pay restitution in the amount of $88,441.30.Blackburn was a fugitive for almost five years and pleaded guilty

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-52378907496069524932009-02-11T16:31:00.000-08:002009-02-11T16:33:54.364-08:00

Thursday, August 21, 2008Newport Beach doctor surrenders license in fraud caseDr. Paul Lessler pleaded guilty to Medicare fraud.BY COURTNEY PERKESThe Orange County RegisterComments | Recommend A Newport Beach doctor who last year pleaded guilty to committing Medicare fraud surrendered his medical license today, the California Medical Board reported.Dr. Paul Lessler operated University Pain

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-44251617909000993072009-02-11T16:28:00.000-08:002009-02-11T16:31:39.341-08:00

Cardiologist charged with health care fraud Sheth received $13.4 million between January 2002 and July 2007 in fraudulent reimbursement ...49-year-old Dr. Sushil Sheth faces up to 10 years in prison and a $250,000 fine for one count of health care fraud.CHICAGO -- Federal authorities have charged a cardiologist from the southern Chicago suburbs with bilking Medicare and insurance companies out of

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-79132893579806276882009-01-21T15:40:00.000-08:002009-01-21T15:45:12.543-08:00

CHS determined that the securities-lending program was proving too risky,Wachovia Corp Sued by Carolinas Health Care System for More than $19 Million in “Bad” InvestmentsPosted On: January 19, 2009 by Shepherd Smith & Edwards Wachovia Corp Sued by Carolinas Health Care System for More than $19 Million in “Bad” InvestmentsCarolinas Healthcare System (CHS) is suing Wachovia Corp for alleged bad

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-61923118536385413512009-01-21T15:39:00.000-08:002009-01-21T15:40:22.325-08:00

SouthernCare Inc., based in Birmingham, Alabama, has agreed to pay $24.7 million to settle charges it made false claims to the government concerning medicare reimbursements for patients who did not qualify. The case brought against SouthernCare was the result of two qui tam suits filed by two former SouthernCare employees, Tanya Rice and Nancy Romeo, both registered nurses, who will receive $4.9

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-15806299980861718392009-01-15T06:47:00.000-08:002009-01-15T06:51:19.165-08:00

Cuomo goes after United HealthUpdated: 01/13/2009 09:26 PMBy: Erin Billups NEW YORK STATE -- "I'm putting all the other healthcare insurance companies on notice today. This is the first step today with United," said Attorney General Andrew Cuomo.After an investigation into allegations of unfair insurance reimbursement rates, United Health Group, one of the country's largest health insurers, has

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-55325251832517756692008-12-19T14:19:00.000-08:002008-12-19T14:24:33.160-08:00

Posted: Dec 16, 2008 05:18 PM CST NASHVILLE (WATE) -- A man and woman from Athens have been charged with 2 from Athens charged with TennCare fraudPosted: Dec 16, 2008 05:18 PM CST NASHVILLE (WATE) -- A man and woman from Athens have been charged with TennCare fraud in separate cases. John V. Davis, 25, is charged with three counts of using TennCare to get controlled substances by doctor

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-66164074112050825992008-12-19T14:17:00.000-08:002008-12-19T14:19:54.259-08:00

December 16, 2008OIG Releases Reports on Hospital Adverse Events and State Reporting SystemsOn December 16, 2008, the Department of Health and Human Services' Office of Inspector General (OIG) released a report entitled "Adverse Events in Hospitals: Overview of Key Issues."The Tax Relief and Health Care Act of 2006 (Act) mandates that the OIG report to Congress regarding the incidence of "never

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-35152077183199871032008-12-18T08:15:00.000-08:002008-12-18T08:20:44.103-08:00

Eliminating Waste in Health CareThe ability to eliminate unnecessary cost is absolutely critical to health care industry. Total spending was $2.3 TRILLION in 2007, or $7600 per person [1]. Total health care spending represented 16 percent of the gross domestic product (GDP). U.S. health care spending is expected to increase at approximately 7% levels for the next decade reaching $4.2 TRILLION in

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-71903005610043860432008-12-18T07:17:00.000-08:002008-12-18T07:19:47.428-08:00

The former head of City of Angels Medical Center pleaded guilty today to his part in a scheme that used L.A.’s Skid Row homeless to defraud Medicare and Medi-Cal. More from KPCC’s Debra Baer. Debra Baer: Dr. Rudra Sabaratnam pleaded guilty in federal court to two felony counts of paying half-a-million dollars in illegal kickbacks for patient referrals. Prosecutors say he and a co-defendant, who

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-80196513804101371552008-12-18T06:54:00.000-08:002008-12-18T06:56:52.410-08:00

Federal agents raid convalescent home headquartersBy TONY SAAVEDRA and RONALD CAMPBELLThe Orange County RegisterWednesday, December 17, 2008Federal agents on Wednesday raided the Mission Viejo headquarters of a national chain of convalescent homes in what company officials said appears to be an investigation into suspected Medicare fraud.Officials from Ensign Group Inc. said the Department of

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-55808552436525786722008-12-18T06:51:00.000-08:002008-12-18T06:54:00.910-08:00

Legal AdvocacySupreme Court Refuses to Allow Federal Labeling Law to Shield Against Fraud/Misrepresentation ClaimsThe U.S. Supreme Court ruled that manufacturers of potentially dangerous products are not shielded from state consumer law merely because their products have complied with federal labeling laws. The specific product at issue in Altria Group Inc. v. Good was “light” cigarettes, but the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-7453089751189865172008-12-18T06:47:00.000-08:002008-12-18T06:51:43.383-08:00

Prison Sentence One of the Longest Ever Received by a Physician in a Medicare Fraud CaseWASHINGTON, Dec. 17 /PRNewswire-USNewswire/ -- A Miami physician and nurse were sentenced today to 30 years and seven years in prison, respectively, in connection with their roles in an $11 million HIV infusion fraud scheme, Acting Assistant Attorney General Matthew Friedrich of the Criminal Division and U.S.

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-40237264875836204302008-12-18T06:43:00.000-08:002008-12-18T06:47:17.890-08:00

HHS Mistakenly Leaks Medicare Recipients' Private InformationBy Elaine Grant on Wednesday, December 17, 2008. This week, thousands of Medicare recipients got an unpleasant surprise when they learned that the Department of Health and Human Services had failed to guard some of their confidential information.NHPR's Elaine Grant has the story.Web resources:New Hampshire Department of Health and Human

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-23880129638202645612008-12-05T10:50:00.000-08:002008-12-05T11:06:32.549-08:00

Anti-fraud efforts snagged $1.1 billion in ’07Fraud-busting efforts of the Justice Department and HHS brought in $1.1 billion in fiscal 2007 for the federal government and private whistle-blowers, according to the annual report of the Health Care Fraud and Abuse Control Program.Two-thirds of the $249 million allotted in 2007 went to the HHS’ inspector general’s office and accounts for the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-75247509085304821422008-12-05T10:41:00.000-08:002008-12-05T10:50:57.451-08:00

Edem James Etuk, 54, the owner of PMS Medical Equipment Distributors Etuk admitted that as the owner of PMS, a durable medical equipment company, he participated in a conspiracy that resulted in fraudulent billing of Medicare of approximately $3.8 million.Medicare paid approximately $1,627,000 to PMS over the course of the conspiracy. As part of his agreement with the federal government, Etuk has

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-62697875473206386662008-12-05T10:34:00.000-08:002008-12-05T10:41:28.560-08:00

"We expect health-care providers to come forward when they discover issues that could rise to the level of fraud without waiting for us to catch up to them," Fitzgerald said in a statement announcing the settlement. Hospital settles fraud case for $36MDecember 1, 2008 at 11:16 PM | Comments (0) Condell Medical Center in Libertyville will pay a $36 million settlement to government health programs

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-39724061383702340652008-12-05T10:02:00.000-08:002008-12-05T10:34:37.100-08:00

HHS and DOJ Health Care Fraud and Abuse Control Program Annual Report For FY 2007 The Department of Health and Human Services And The Department of Justice Health Care Fraud and Abuse Control Program Annual Report For FY 2007, November 2008"The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established a national Health Care Fraud and Abuse Control Program (HCFAC or the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-54995365749242447152008-12-05T09:58:00.000-08:002008-12-05T10:02:34.730-08:00

Monday, December 01, 2008Two Important Resources Last month, I was fortunate to be able to attend the 13th International Anti-Corruption Conference in Athens, Greece, where I learned about two important additions to our resources relevant to the issues discussed on Health Care Renewal, specifically to improving integrity and transparency to the manufacture, promotion, and use of

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-7921200758793102942008-12-05T09:55:00.000-08:002008-12-05T09:58:32.098-08:00

Medicare will continue to suspend payments to Miami home healthcare agencies suspected of fraud, according to a November 24 Miami Herald article. A federal judge ruled Medicare’s refusal to pay reimbursement to companies suspected of overcharging for diabetic and other services, which began in October, is reasonable and appropriate. A home healthcare company sued Medicare following the initial

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-73741315059791230772008-12-05T09:52:00.000-08:002008-12-05T09:55:28.896-08:00

Condell Health Network and Medical Center to Pay $36 Million Settlement After Self-Reporting Possible Health-Care FraudDecember 1, 2008 Condell Health Network and Medical Center to Pay $36 Million Settlement After Self-Reporting Possible Health-Care FraudCondell Health Network, parent corporation of Condell Medical Center, a 283-bed hospital in Libertyville - after voluntarily disclosing that it

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-17001989300974537592008-12-05T09:48:00.000-08:002008-12-05T09:52:06.818-08:00

McAllen Cardiologist Indicted For Health Care FraudMonday , December 01, 2008 Posted: 11:46 AM Suspect faces up to 10 years in prison and fine of $250,000, if convictedMCALLEN - A federal grand jury in McAllen has indicted cardiologist Fabian Aurignac for health care fraud, acting United States Attorney Tim Johnson announced today. Aurignac, formerly of McAllen, was arrested today in Austin,

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-29219760129791910182008-12-01T13:05:00.001-08:002008-12-01T13:05:21.047-08:00

Medicare by billing for $3.4 million in phony medical infusion services

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-23391247404433578472008-12-01T13:00:00.000-08:002008-12-01T13:01:44.800-08:00

The Patriot Ledger, November 6, 2008A federal grand jury indicted a Massachusetts man for allegedly scamming about $1.4 million from Medicare. Kingsley Tochukwu Eze, the owner and director of Kings Enterprize in Quincy, MA, was indicted on 14 counts of healthcare fraud, two counts of aggravated identity theft, and a single charge of making a false statement. Eze allegedly submitted false Medicare

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-20634961016871243502008-12-01T12:44:00.000-08:002008-12-01T12:45:52.223-08:00

ATLANTA (AP) An orthopedic surgeon and two chiropractors were sentenced Thursday to federal prison for cheating insurance companies out of $3 million by mislabeling treatments for back pain. The sentences are the latest in Georgia to result from a back pain treatment known as Vertebral Axial Decompression.The U.S. Attorney's Office said Dr. Howard Berkowitz, 58, of Atlanta was sentenced Thursday

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com3tag:blogger.com,1999:blog-712554512244531938.post-30557538010299289552008-11-22T15:30:00.000-08:002008-11-22T15:38:48.713-08:00

Post Date 11/12/2008 Employer WellPoint, Inc Benefits Job Description TrustSolutions is a wholly owned subsidiary of Government Health Services, LLC, and is part of the WellPoint family of companies. TrustSolutions holds a Medicare Program Safeguard contract with the Centers for Medicare & Medicaid Services to help reduce fraud and abuse in the Medicare Program. Headquartered in Milwaukee,

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-50842552128856627852008-11-12T10:30:00.000-08:002008-11-12T10:36:26.202-08:00

Healthcare fraud probes given more resourcesPosted: November 11, 2008 - 3:00 pm EDTThe Justice Department’s inspector general found that U.S. attorneys directed more attorney hours toward healthcare fraud, firearms and organized crime than their offices were allocated, while extra positions Congress funded for counterterrorism went unfilled.Offices in large cities were most likely to dedicate

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-60856413102715665992008-11-12T10:27:00.000-08:002008-11-12T10:30:06.708-08:00

Posted On: November 11, 2008 by Finch McCranie, LLP Justice Department Announces 2008 Fraud & "Qui Tam" False Claims Act Recoveries, with Medicare, Medicaid, and Other Health Care Fraud Alone Topping $1 Billion in Recoveries of Taxpayer FundsWill Wall Street Bailout Produce the Next Round of Whistleblowers Reporting Fraud?The U.S. Department of Justice this week announced its FY 2008 recoveries

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-6016671426635920432008-11-01T18:14:00.000-07:002008-11-01T18:15:44.755-07:00

Health Care Fraud Costs BillionsOctober 10th, 2008 · No Comments By: LINDSEY O’NEILL, ESQ.What is Health Care Fraud? Health care fraud occurs when health care professionals make false or misleading statements in order to benefit financially. Health care schemes are diverse and often complex. Examples include overbilling, billing for services not even provided, double billing for the same

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-6368930754910479712008-10-23T08:58:00.000-07:002008-10-23T09:02:50.088-07:00

Aug. 5, 2003, through Sept. 10, 2008, ...$903,896.54 from the State of Minnesota through Medicaid health care fraud.Hudsonite indicted for health care fraud in MinnesotaHudson Star-ObserverPublished Wednesday, October 22, 2008A former Minnesota Department of Health and Human Services (DHS) employee was recently indicted by a federal grand jury for health care fraud and for the alleged theft of

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-60349939947075559352008-10-22T09:36:00.000-07:002008-10-22T09:38:24.391-07:00

A federal judge today sentenced a Detroit doctor to more than 16 years in prison for health care fraud, saying crimes like his are making health insurance unaffordable and threatening the viability of major employers such as the automotive industry. “I like to find some good in somebody when I sentence them and I find no good in you,” U.S. District Judge Marianne O. Battani told Dr. Zack Brown as

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-68203357255464276212008-10-21T08:36:00.000-07:002008-10-21T08:39:42.160-07:00

"Martin Act was used by the Attorney General with great success in prosecutions of fraud by investment banks, mutual funds and insurance companies. Those efforts led to the recovery of more than $6 billion for investors, businesses and the government. ""MARTIN ACT" PROPOSED TO CRACK DOWN ON MEDICAID FRAUDNew Legislation Would Improve Prosecutors’ Ability to Fight FraudAttorney General Spitzer

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-41895178203499071972008-10-08T06:51:00.000-07:002008-10-08T06:56:23.511-07:00

Rampant Medicare fraud suspected in Miami Miami may be ground zero,however this has been going on for years! By Julie Appleby, USA TODAYHome health care costs charged to Medicare in the Miami area have risen 20 times the national average in the past five years, prompting a federal investigation of suspected fraudulent billing.Miami-Dade County is on track to cost Medicare a projected $1.3

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-19028414725565704292008-10-04T16:29:00.000-07:002008-10-04T17:21:26.233-07:00

The Bankruptcy Code TodayThe present Bankruptcy Code, which became law in 1978, combines three previous reorganization chapters into one, Chapter 11. Chapter 11 is designed to be a flexible tool for the reorganization of the business and debts of corporations, partnerships and individuals. The goals of the reorganization process are many: to maintain the going concern value of the enterprise; to

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-31657020524608757572008-10-04T16:26:00.000-07:002008-10-04T16:29:48.158-07:00

All you have to do is go to the trial currently in Colimbus Ohio, NCFE> You can verify the link between the financial and healtcare industries. No doubt one of the leading issues in this election is the question of health care coverage. For working Americans apart from losing their job there is no greater fear than inability to pay for their health care costs. Each year the number of working

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-85590564672451837522008-10-04T16:23:00.000-07:002008-10-04T16:25:59.064-07:00

U.S. Attorney's Office Announces More Fraud Charges in Southern FloridaOn September 30, 2008, the U.S. Attorney's Office in the Southern District of Florida issued a Press Release announcing health care fraud charges against 41 defendants and involving more than $160 million in Medicare claims. As part of the Press Release, the U.S. Attorney's Office also made a fiscal year comparison of the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-86810434147016772192008-10-01T08:37:00.000-07:002008-10-01T08:40:05.824-07:00

Associated Press - September 30, 2008 11:45 AM ET MEMPHIS, Tenn. (AP) - A Shelby County man who peddled home health care products over the Internet has pleaded guilty to computer fraud.The Commercial Appeal reported 44-year-old Perry Belcher drew a 10-year suspended sentence in state criminal court Monday and agreed to give up cash, vehicles and other property valued at more than $1 million. He

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-67138175560640628002008-10-01T08:32:00.000-07:002008-10-01T08:37:26.113-07:00

Four states, federal government share $9.9 million Medicaid fraud settlementBY DREW SMITHDEERFIELD, Ill. (Legal Newsline)-Florida, Massachusetts, Minnesota and Michigan will be receiving money from Walgreen Co., an Illinois-based pharmacy chain, as part of a $9.9 million Medicaid fraud settlement. Florida Attorney General Bill McCollum announced today his state will be receiving more than $1.5

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-7306283698499981492008-09-30T08:16:00.000-07:002008-09-30T08:35:57.487-07:00

Unfortunately, objective media coverage and comparisons of single-payer public health care with our current profit-driven corporate system are almost non-existent at this time. George Seldes once said, “Journalism’s job is not impartial ‘balanced’ reporting. Journalism’s job is to tell the people what is really going on.” Truth Emergency USBy Peter Phillips and David KubiakMany economists now

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-49929464167402449542008-09-30T08:13:00.000-07:002008-09-30T08:16:20.700-07:00

Drug manufacturer reaches $425 million fraud settlementBY DREW SMITHHARTFORD, Conn. (Legal Newsline) -- Cephalon, a Frazer, Pa.-based drug manufacturer, has announced a $425 million Medicaid fraud settlement for off-label drug marketing. After a four-year investigation by federal and state authorities, the company was found to have marketed three drugs -- Actiq, Gabitril and Provigil -- for

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-77400165789261561282008-09-28T08:56:00.000-07:002008-09-28T09:02:13.948-07:00

"...president of a medical device company was sentenced Wednesday to three years probation and fined $10,000 for plotting ..."Serono and its U.S. subsidiaries agreed in October 2005 to pay $704 million to resolve civil and criminal charges.Executive sentenced in Serono fraud caseBy Jay Lindsay, Associated PressWriter09.25.2008 Categories AP Business Business & Finance conspiracy Corporate

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-64671696490988216762008-09-28T08:54:00.000-07:002008-09-28T08:55:58.914-07:00

California Assembly Speaker pro Tempore Sally Lieber (D-San Jose) reacted to the vote of healthcare workers at Stanford hospitals in favor of union representation. In an election conducted by the National Labor Relations Board, healthcare workers voted by more than a 3-to-1 margin to be represented by SEIU United Healthcare Workers - West (UHW) at Stanford Hospital & Clinics (SHC) and Lucile

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-13928570092645283162008-09-27T11:08:00.000-07:002008-09-27T11:10:04.377-07:00

Connecticut Supreme Court upholds state Medicaid fraud decisionBY DREW SMITHHARTFORD, Conn. (Legal Newsline)--The Connecticut Supreme Court has upheld a ruling made by the state's Department of Social Services against a Farmington-based company for defrauding the state's Medicaid program. Attorney General Richard Blumenthal and DSS Commissioner Michael Starkowski praised the decision, which

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-85537005134726092982008-09-23T08:20:00.000-07:002008-09-23T08:28:33.329-07:00

$15 M Medicaid fraud lawsuit dismissed against medical centerEast Texas Medical Center Regional Healthcare System9/22/2008 3:00 PMBy Michelle Massey, Texarkana BureauMARSHALL - A federal judge recently granted a summary judgment in a case alleging a health care system submitted false claims to Medicaid.U. S. District Judge T. John Ward granted the motion for summary in late August, dismissing a

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-66161033864003534302008-09-18T06:31:00.004-07:002008-09-19T06:30:52.389-07:00

FORT LAUDERDALE, FL (September 17, 2008) Health care fraud blog publisher, attorney Robert David Malove, will be attending the 2008 Fraud & Compliance Forum in Baltimore next month. The AHLA/HCCA Fraud & Compliance Forum will provide practical guidance on the pressing legal and compliance issues that have arisen in the last twelve months. For health lawyers, the program will highlight the most

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-20899686901608125952008-09-18T06:31:00.003-07:002008-09-19T06:27:32.071-07:00

A former Hawkins County doctor was arrested in Texas Wednesday on indictments of health care fraud, unlawfully dispensing controlled substances, money laundering, income tax evasion and failure to file tax returns.John Theodore Hancock, 47, was indicted by a federal grand jury in Greeneville, Tennessee, on September 9.While Hancock was licensed to practice in Tennessee, the indictment alleges he

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-8499180911529381202008-09-18T06:31:00.002-07:002008-09-19T06:25:07.899-07:00

I wonder how much they will have to pay back?What deal did the government make? Thursday, September 18th, 2008 A Miami physician’s assistant who trained doctors how to prescribe obsolete HIV therapy in a $119 million Medicare fraud ring pleaded guilty Thursday in a federal case that reverberates from South Florida to Cuba.Related NewsMiami HIV Clinic Administrator Pleads Guilty for Role in a

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-583212841060942712008-09-18T06:31:00.001-07:002008-09-18T06:42:11.816-07:00

Person CRAIG E. GARDELLA Records 1 - 18 of 18. Company Name Form Type Received Date View COMMUNITY HEALTH SYSTEMS INC 8-K 7/30/2007 HCA INC/TN 8-K 11/3/2005 PSYCHIATRIC SOLUTIONS INC 8-K 12/28/2004 HCA INC/TN 8-K 11/10/2004 PSYCHIATRIC SOLUTIONS INC 10-Q 8/11/2004 RENAL CARE GROUP INC 8-K 4/16/2004 HEALTHCARE REALTY TRUST INC 10-Q 11/14/2003 HEALTHWAYS, INC 8-K/A 10/10/2003

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-36427160933213778402008-09-18T06:31:00.000-07:002008-09-18T06:35:42.779-07:00

The hospital agreed to return $25 million to the federal governmentTen years they were robbing Medicare and Tricare....and what do they have to pay?The hospital will also have to pay another $26.6 million to cover Medicare and Medicaid reimbursements it received for treating thousands of patients for substance abuse using unregulated and unlicensed methods between 1994 and 2004. Wednesday,

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-30253613027473340472008-09-12T08:17:00.000-07:002008-09-12T08:23:57.952-07:00

Well this is a start tocombat the fraud, howweverwhat about all the money that was stolen HCA over the years?Just the money that HCA settled 'out of court' for was a FRACTION, a FRACTION of what they STOLE! And were still allowed to continue UNINTERRUPTED BUSINESS as USUAL!mentored by Rixchard Rainwater and friends!How about HCA paying ALL of the money,that was stolen mind you, back to the people

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-19253213044303032922008-09-10T09:13:00.000-07:002008-09-10T09:22:03.282-07:00

The federal budget deficit was $486 billion in the first 11 months of fiscal year 2008, CBO estimates, $212 billion more than the shortfall recorded over the same period last year. CBO anticipates that the government will realize a surplus in September, stemming from quarterly payments of estimated income taxes. The result will be a deficit in the vicinity of $400 billion for the fiscal year. CBO

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-12225672124789649572008-09-09T05:49:00.000-07:002008-09-09T05:53:04.328-07:00

Friday, September 5, 2008Study suggests health care fraud drives up medical costsBirmingham Business JournalWhile health care companies are spending billions on construction, a recent study has found that health care fraud may be one of the biggest factors driving up health care costs, to the tune of billions of dollars, new research indicates.Resolved health care fraud cases alone in the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-69651766596434831462008-09-05T07:30:00.000-07:002008-09-05T07:34:46.893-07:00

Trillions have been stolen and this DOJ should be satsified with $9.3 billion recovered...give me a break! WASHINGTON, D.C.Whistle-blowers play large role in uncovering healthcare fraudInsiders helped authorities recover more than $9.3 billion between 1996 and 2005. For their efforts, they get 15% to 25% of the amount reimbursed.September 2, 2008Insiders aid in healthcare fraud

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-62755277297497096662008-09-05T07:23:00.000-07:002008-09-05T07:30:47.607-07:00

How about Banks assist with Health Care Fraud? Perfect example is NCFE missing the Founder and CEO and also an "Executive" James K Happ.....the person who assisted GW Bush's ex-partner Richard Rainwater in the "PONZI SCHEME" as noted by Federal Prosecutors involved in the case they would like to to reference as "an end to an era".Not so fast.....so much more to KNOW! James K Happ....(Smoking GUN

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com1tag:blogger.com,1999:blog-712554512244531938.post-79727456196413343912008-09-05T07:13:00.000-07:002008-09-05T07:23:39.978-07:00

Health plan settles fraud charges with stateA related indictment accuses a former Healthfirst executive of concealing a practice of paying employees based on productivity, which is prohibited to protect consumers from aggressive sales tactics.Healthfirst, New York state’s largest health plan for Medicaid beneficiaries, agreed to pay $35 million to settle charges by the attorney general that it

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-59210525813368856562008-08-21T05:42:00.000-07:002008-08-21T05:46:16.534-07:00

ACFE Healthcare Fraud SeminarPosted On: August 19, 2008 by Robert David Malove CEO Magazine reports that healthcare costs are within the top three business concerns, and for good reason: U.S. healthcare spending has increased from a mere $27 billion in 1960 to $2 trillion in 2005. That is a 7,100 percent increase in spending! Employers today face many unique regulations, systems, procedures and

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-66676436660466319682008-08-21T05:34:00.000-07:002008-08-21T05:42:12.704-07:00

"...officials at Medicare instructed AdvanceMed to disregard those policies...'WOW! is this suppose to be a surprise?What do you want from the Secretary of DHHS, who comes from the "FAMILY OWNED" LARGEST INSURANCE BROKER in the STATE of UTAH? THE LEAVITT GROUPReport Rejects Medicare Boast of Paring Fraud By CHARLES DUHIGGPublished: August 20, 2008 Medicare’s top

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-78061447384406203612008-08-19T05:11:00.000-07:002008-08-19T05:14:00.716-07:00

INDIANAPOLIS -- A woman who ran an Indianapolis day care has been indicted on federal charges she defrauded the Indiana Medicaid Program of nearly $2 million.Carol Y. Woodard, 40, was indicted Monday on health care fraud charges, said U.S. Attorney Timothy Morrison.Woodard enrolled her day care and after-school care business, Gideon's Gate, in the Medicaid program and collected $1.8 million for

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-91511266322217043312008-08-15T07:12:00.000-07:002008-08-15T07:41:36.448-07:00

Our Government and Lobbyists & FInancial Investment Firms at work, once again!!That is the real answer. But maybe, for starters, we need to connect dots to the BIG POLICY MAKERS and their connection to FRAUD,i.e. Frist, Bush, Rainwater & Moore! Go to the NCFE trial in Dublin, Ohio that DOJ would like to behave as this case is over, while the Co-Founder and a 3uear EXECUTIVE, James K Happ, has yet

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-54020504753313725852008-08-15T06:19:00.000-07:002008-08-15T07:10:50.834-07:00

You wonder why? "...fraud seems to be a major industry in South Florida...""...billions of dollars defrauded from Medicare....""...Ros-Lehtinen has banked $180,000 from Big Pharma and HMOs."NOW Commect the dots to FINANCIAL & HEALTHCARE FRAUD!JUST LOOK AT THE TRIAL, dubbed by Fed Prosecutors as Largest Private Fraud Case in the history of America: Poulsen was president, chairman, chief executive

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-83613443664175271022008-08-15T06:08:00.000-07:002008-08-15T06:19:56.910-07:00

Health Care Politics by Ralph NaderPosted on August 14, 2008 by dandelionsalad Dandelion Saladby Ralph NaderAug. 14, 2008One of my favorite monthly publications is Registered Nurse – the journal of the fast growing, progressive California Nurses Association (CNA) – a union that stands up for patients rights and well-being.The June 2008 issue contains stories that illustrate how this nurses group

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-6158641966000812122008-08-15T05:49:00.000-07:002008-08-15T06:08:23.073-07:00

"...lawsuit against Amerigroup was originally filed by Cleveland Tyson, a former company employee.""...avoided enrolling unhealthy patients..""...October 2006, a jury found Amerigroup liable...""...court entered a $334 million judgment against Amerigroup, which then filed an appeal with the U.S. Court of Appeals for the Seventh Circuit in Chicago seeking a reversal of the judgment. As part of the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-81172184953309116432008-08-13T12:31:00.000-07:002008-08-13T12:36:34.448-07:00

Below is an exerpt posted in this week's Newsweek : http://www.newsweek.com/id/151727/page/2The Pickens Profile You Haven't Read Pickens likes to portray his years as a corporate buccaneer during the 1980s as "shareholder activism." When Mesa fell into a cash crisis in the mid '90s after the price of natural gas collapsed, there was no mercy for him on Wall Street. Pickens called in Texas

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-5094457037075304662008-08-07T05:24:00.000-07:002008-08-07T05:27:37.091-07:00

August 6, 2008Long Term Insurance Fraud: How To Avoid It by Terry StanfieldWe do not live in a perfect world and the risk of fraud exists. It may be a fraud through a company offering you products, or it may be fraud through con artists, but the sad truth is it exists. Long-term care insurance is not exempt from the risk of fraud, and there are those out there who will try and benefit off your

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-32777568913730645552008-08-07T05:17:00.000-07:002008-08-07T05:24:48.648-07:00

A Dallas woman, Rebecca Swanson, who owned and operated a drug and alcohol counseling service in Dallas, pled guilty in federal court to health care fraud and aiding and abetting. Swanson faces a maximum statutory sentence of 10 years in prison, a $250,000 fine and restitution arising from all relevant conduct.A federal grand jury indicted Swanson, in February on one count of conspiracy to

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-71740929143986373542008-08-07T05:12:00.000-07:002008-08-07T05:17:12.908-07:00

FBI Raids Hospitals, Arrests CEO Previous posts on Health Care Renewal have featured a rogues gallery of disgraced leaders of health care organizations. For example, we recently discussed a former hospital CEO who concealed that he had served time in the US Navy's brig. The Los Angeles Times just reported a story that suggests a new low in hospital leadership,FBI agents served search warrants

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-20796066414759511112008-08-06T05:41:00.000-07:002008-08-06T05:45:21.567-07:00

Quality of CareAugust 5th, 2008 by Nick JacobsWhen the word quality was discussed back in the 80's, you often heard of the Baldridge Award or TQM, total quality management, as the programs that would take your organization to new heights. Today, more often than not, we hear about the Toyota Model of management or a more dated Six Sigma, 99.999999% approach to perfection. Recently, though, the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-3906132590641142802008-08-06T05:38:00.000-07:002008-08-06T05:41:34.615-07:00

A Rolls-Royce valued at $200,000 once belonged to Eduardo Moreno, a fugitive wanted in connection with Medicare fraud.Gallery | Fugitives suspected of fraud The Benitez brothers were masters of Medicare fraud, prosecutors say.They spent their Medicare millions on Mediterranean-style homes, apartments, hotels, boats, a helicopter, even a water park — all in the resort area of Bavaro, Dominican

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-38302730052999650742008-08-05T06:42:00.000-07:002008-08-05T06:56:54.125-07:00

By Jim KouriThe Department of Justice, in cooperation with the Department of Health and Human Services, has guided the enforcement efforts of the national Health Care Fraud and Abuse Control Program (HCFAC) since its inception in 1997.The program was designed to coordinate federal, state and local law enforcement on cases of health care fraud and abuse as part of the Health Insurance Portability

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-63480617589972830462008-08-02T16:18:00.000-07:002008-08-02T17:04:39.181-07:00

Investigating Chiropractic FraudJuly 31st, 2008 Health care fraud comes in many forms and unfortunately is not limited to any one health care discipline. Chiropractic is not immune from their members engaging in fraudulent activity that violates the laws and rules governing health care. With more than twenty years of experience, including investigating chiropractic fraud and assisting

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-68096661072871750002008-08-02T16:15:00.000-07:002008-08-02T16:18:03.047-07:00

Judge Warns of Fines in PhyAmerica Physician Group Case.Publication: Knight Ridder/Tribune Business News Date: Saturday, January 24 2004 By Jean P. Fisher, The News & Observer, Raleigh, N.C. Knight Ridder/Tribune Business News Jan. 24--A Maryland judge has warned Dr. Steven M. Scott, former owner of PhyAmerica in Durham, that he will face a $50,000-per-violation fine each time he or his

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-35445574076754270462008-08-02T16:00:00.000-07:002008-08-02T16:15:36.281-07:00

Whistle-blower lawsuits alleging that pharmaceutical companies and government contractors defrauded the federal government have created a backlog of more than 900 cases at the Department of Justice, the Washington Post reports. According to the Post, more than 500 of the cases involve the health care and pharmaceutical industries, as well as Medicare and Medicaid.July 3rd, 2008

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-65316784858884219012008-08-02T15:58:00.000-07:002008-08-02T16:00:51.456-07:00

AND WHERE IS THE MONEY? SHOW ME THE MONEY!Owner of Medical Equipment Company Sentenced to 130 Months in Prison for Health Care FraudJuly 3, 2008A Miami resident was sentenced to 130 months in prison for his role in schemes to defraud the Medicare program, Acting Assistant Attorney General Matthew Friedrich of the Criminal Division and U.S. Attorney R. Alexander Acosta of the Southern District of

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-59886266304662958572008-08-02T15:54:00.000-07:002008-08-02T15:58:44.308-07:00

I wonder why? Hmmm..........Who do we know IN the WHITE HOUSE that would like to hide this? How much has been paid and to whom? Instead, we can think about Paris and Brittany!BOY, are we just a bunch of DUMB AMERICANSDO not knwo what we have until we lose it and this BUSH has really progressed in that department now hasn't he?July 3rd, 2008 5:18 pmA Backlog Of Cases Alleging FraudWhistle-Blower

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-76843319161449592182008-08-02T15:53:00.000-07:002008-08-02T15:54:43.701-07:00

A Severna Park woman pleaded guilty in federal court to health care fraud yesterday for billing for medical services she did not provide, according to the U.S. attorney's office.Virginia Vought Acree, 49, a state-licensed clinical specialist in child and adolescent psychiatric and mental health nursing, admitted to falsely billing for services she did not provide on hundreds of occasions from

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com1tag:blogger.com,1999:blog-712554512244531938.post-9878520494681027982008-07-28T07:29:00.000-07:002008-07-28T07:31:52.148-07:00

No wonder FRAUD is "OUT OF CONTROL"!!!Many Hospital Claims Denials by Recovery Audit Contractors Are Overturned, as Process Itself Is QuestionedHospitals may be able to fend off recovery audit contractor (RAC) claims denials for medically unnecessary admissions or services because some of them have been overturned, experts tell RMC. Washington, DC (PRWEB) July 17, 2008 -- AIS's Report on Medicare

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com6tag:blogger.com,1999:blog-712554512244531938.post-34903781110625070632008-07-26T13:51:00.000-07:002008-07-26T16:40:50.721-07:00

House Energy and Commerce Committee Chair John Dingell (D-Mich.) and ranking member Joe Barton (R-Texas) on Tuesday released a revised version of a bill (HR 6357) that aims to promote nationwide adoption of an electronic health record system, CongressDaily reports. According to CongressDaily, the lawmakers “substantially changed the information-sharing and privacy provisions of their proposal”

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-40361412522627261412008-07-26T13:45:00.000-07:002008-07-26T13:51:04.803-07:00

Healthcare fraud doesn’t even get a mention in the recently released government plan for creating a nationwide health information network.REALLY? My same sentiments regarding the CAMPAIGN and FIXING the HEALTHCARE SYSTEM in this country. Tackle fraud issue now, IT leaders advise Jul 25th, 2008 | By Vantage Technology | Category: Healthcare IT Healthcare fraud doesn’t even get a mention in the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-24897102601872774582008-07-26T13:43:00.000-07:002008-07-26T13:45:57.104-07:00

Health care fraud gets Washington County man three-year probationBy The Tribune-ReviewSaturday, July 26, 2008 A Washington County man was sentenced in federal court Friday to three years' probation for health care fraud. U.S. District Judge Gary L. Lancaster placed John Slimick, 49, of New Eagle on house arrest for six months. Slimick was ordered to pay $156,000 in restitution to Highmark Blue

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0tag:blogger.com,1999:blog-712554512244531938.post-49181215448298934312008-07-24T07:18:00.000-07:002008-07-24T07:23:58.523-07:00

What is wrong with this picture? And they are allowed to still OPERATE and BILL MEDICARE/MEDICAID!!!As part of the $60 million settlement, Cox has entered into a Corporate Integrity Agreement with the U.S. Department of Health and Human Services (HHS) Office of Inspector General. The Corporate Integrity Agreement contains measures to ensure compliance with Medicare regulations and policies in the

Susan Goldenhttp://www.blogger.com/profile/04123262013628612410noreply@blogger.com0