June 23, 2014 |
A VETERAN federal prosecutor passionately told a judge yesterday that Alex Pugman, a leading defendant in a Medicare fraud case, "was without a doubt the most exceptional cooperator I have worked with. " Pugman, who was the director and co-owner of the now-defunct Home Care Hospice in Northeast Philly, helped explain the roles of other participants in the scheme, pointed out the fraud in the agency's records, and testified at two grand juries and at three trials, Assistant U.S. Attorney Suzanne Ercole said.
February 12, 2014 |
John Pease helped lead health-care fraud investigations - as well as sending former Pennsylvania State Sen. Vincent J. Fumo to prison - before leaving the U.S. Attorney's Office in Philadelphia in January 2013. Now, as senior counsel at Teva Pharmaceuticals USA, Pease will be on the other side of a health-care legal fight. Teva said Monday, in a Securities and Exchange Commission filing, that it was under investigation by the U.S. Attorney's Office in Manhattan over sales practices related to its best-selling drug, Copaxone.
April 12, 2013
NEWARK, N.J. - A North Jersey cardiologist has admitted taking part in a scheme that subjected thousands of patients to unnecessary tests and treatment and resulted in $19 million in bogus bills, authorities said. Jose Katz, 68, of Closter, pleaded guilty Wednesday in federal court to conspiracy to commit health-care fraud and an unrelated count of Social Security fraud for giving his wife a years-long no-show job, making her eligible for Social Security. Katz, 68, was the founder and chief executive of Cardio-Med Services L.L.C., which had offices in Union City, Paterson, and West New York, and Comprehensive Healthcare & Medical Services, which had offices in Manhattan and Queens, N.Y. Katz, who is free on bail, is scheduled to be sentenced July 23. The health-care fraud charge carries a maximum penalty of 10 years in prison.
April 3, 2013
In the Region Guilty pleas in Medicare fraud Two brothers who operated a Feasterville ambulance company, MedEx Ambulance Inc. , pleaded guilty to overcharging Medicare by $2.5 million for the transport of kidney patients to dialysis who could have gotten there safely by other means, United States Attorney Zane David Memeger announced. The brothers, Aleksandr N. Zagorodny and Sergey Zagorodny, pleaded guilty to all charges in a 41-count indictment charging them with health-care fraud, making false statements in connection with health-care matters, wire fraud, and conspiracy to commit health-care fraud and wire fraud, the prosecutor's office said.
April 3, 2013 |
A pair of brothers who operated a fleet of ambulances in Bucks Co. pleaded guilty today in defrauding taxpayers of more than $2.6 million. Aleksandr N. Zagorodny and Sergey Zagorodny operated the Feasterville-based MedEx Ambulance Inc. from 2007 through 2012. Federal prosecutors said the Zagorodny brothers ran their seven ambulances like a fleet of taxis, unnecessarily transporting patients who they knew were able to walk and then submitting false claims to Medicare and Medicaid.
April 3, 2013 |
Two brothers who operated a Feasterville ambulance company, MedEx Ambulance Inc., pleaded guilty to overcharging Medicare by $2.5 million for the transport of kidney patients to dialysis who could have gotten there safely by other means, United States Attorney Zane David Memeger announced Tuesday. The brothers, Aleksandr N. Zagorodny and Sergey Zagorodny, pleaded guilty to all charges in a 41-count indictment charging them with health care fraud, false statements in connection with health care matters, wire fraud, and conspiracy to commit health care fraud and wire fraud, the prosecutor's office said.
March 8, 2013
By Rebecca Nurick Perpetrators of Medicare and Medicaid fraud are clever and creative - and often quite successful: Every year, scams cost taxpayers about $65 billion. In recent years, the federal government has invested in programs to prevent Medicare fraud, and to make the criminals who commit it pay, both in fines and jail time. In particular, the Affordable Care Act will provide increased resources to fight these crimes. Beefed-up task forces have caught thieves around the country who have engaged in identity theft, billed for services not provided, or even performed unnecessary medical procedures.
February 28, 2013 |
If the automatic federal budget cuts kick in Friday, patients and pharmaceutical companies - and the authorities paid to protect the first group and watch over the second - could be affected both soon and over time. Evaluations of drugs and medical devices might take longer as the Food and Drug Administration curtails operations. Patients might not get some medicine. Philadelphia International Airport handles shipments of products and executives in the globalized drug business, so customs inspections, screening of passengers, and air traffic control might delay delivery of both.
February 23, 2013 |
In TV ads, the Scooter Store suggests to seniors and others needing motorized scooters and wheelchairs that they can be had for almost no cost because the company will handle all the messy paperwork with insurers, particularly Medicare. Wednesday and Thursday brought another example that nothing is free. Somebody - often taxpayers - has to pay. About 150 state and federal law enforcement officers raided the company's headquarters in a San Antonio suburb. The action was another phase in an ongoing health-care fraud investigation of the Scooter Store, which has an outlet in the Philadelphia region.
February 13, 2013 |
In an era when pharmaceutical executives - like their brethren in banking - are under fire for paying fines too often instead of going to prison to settle allegations of wrongdoing, health care fraud investigations returned $4.2 billion to the nation's coffers last year, the U.S. government said Monday. For every $1 spent on investigations, the government got back $7.90 over the last three years, which is $2.50 higher than the rolling three-year average since the Health Care Fraud and Abuse Control Program began in 1997, according to a joint report released by the Department of Justice and Department of Health and Human Services.