February 22, 2015 |
Have you witnessed something illegal, unethical, or potentially fraudulent where you work? If you rat out corporate bad behavior, you could win millions. Last year, for example, Edward O'Donnell, a former Countrywide Financial executive, won $58 million from parent company Bank of America in a case stemming from the sale of shoddy mortgages. His award was part of a record $435 million the U.S. government paid in whistleblower awards, mostly related to health-care fraud and cases involving banks and mortgage companies.
November 8, 2014 |
After indicting nine Philadelphia-area ambulance company owners and their employees for Medicare fraud since 2011, the U.S. Attorney's Office in Philadelphia on Thursday, for the first time, charged passengers with fraud for accepting kickbacks. The 30-page indictment alleges that four Medicare beneficiaries received payments of up to $500 a month for riding in ambulances operated by Brotherly Love Ambulance Inc. of Philadelphia. The usual model of ambulance fraud in Philadelphia involves transporting dialysis patients, who actually can travel safely by less-expensive means.
July 30, 2014 |
Anna Mudrova, 41, of Huntingdon Valley, received an eight-year prison term for her role in a Medicare fraud involving Penn Choice Ambulance Inc., which operated from Huntingdon Valley Camp Hill, Pa. Mudrova's scheme involved more than $3.6 million in fraudulent Medicare claims, according to the U.S. Attorney for the Eastern District of Pennsylvania. Mudrova and other defendants who worked for Penn Choice falsified reports to make it seem like patients needed ambulance transport when they didn't.
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 |
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.
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.
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.