June 24, 2016 |
A Delaware County podiatrist is one of 301 individuals charged in a nationwide Medicare-fraud bust spanning 36 federal districts and involving approximately $900 million in fraudulent payments. Stephen A. Monaco, 59, of Broomall, was charged with submitting $5 million in false claims to Medicare, Medicaid, and four private insurers through his Havertown practice, A Foot Above Podiatry, U.S. Attorney Zane David Memeger announced Wednesday. Between 2008 and 2014, prosecutors say, Monaco submitted claims for procedures that did not take place, and procedures that were medically unnecessary and therefore not reimbursable by Medicare and other insurance companies.
June 6, 2016 |
When the feds closed Brotherly Love Ambulance Inc. in October 2011 amid allegations of Medicare fraud, the owner's son quickly opened his own ambulance company and picked up where his mother had left off. For a while, anyway. Bassem Kuran, who also was a driver for Brotherly Love, is to be arraigned this month for making false statements in a healthcare matter, related to his operation of VIP Ambulance Inc. For years, teams of federal officials have been trying to stamp out this "whack-a-mole" pattern of one fraudulent ambulance operator shutting down only to have another - sometimes headed by a friend or family member - replace it. But since 2014, authorities have hit on an effective strategy.
May 18, 2016 |
The owner of a defunct Northeast Philadelphia ambulance company was charged with Medicare fraud for transporting patients who could walk and did not meet the federal program's requirements for ambulance services, the U.S. Attorney for the Eastern District of Pennsylvania said Monday. Bassem Kuran, who was the sole owner of VIP Ambulance Inc., applied to participate in Medicare in October 2011, soon after his previous employer, Brotherly Love Ambulance Inc. was shut down for the same type of fraud.
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.
July 28, 2014 |
In a bid to cut Medicare spending and help pay for health-care changes, the Obama administration has significantly expanded audits designed to recover improper payments from health-care providers. "We are taking, I would say, a brutal spanking, those that are fully compliant and within regulation," said Tim Fox, founder and chief executive of Fox Rehabilitation, a Cherry Hill company that provides physical therapy and other services to the elderly. "It's dead easy to commit fraud under Medicare, and that's why there's so much fraud and abuse out there," Fox said.
July 2, 2014
Area ambulance companies are facing deserved scrutiny for their disproportionate share of the nation's outsize health-care costs. The Philadelphia region's ambulance companies raked in 64 percent more than the national average in Medicare payments in 2012; 33 local companies collected 10 times the average. No wonder Medicare has stopped new company enrollments while it sorts out the fraud. Federal authorities have brought charges involving eight local companies since 2011. Last week, operators of Life Support Corp.
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.
September 27, 2013 |
A federal grand jury has charged a Philadelphia couple that ran an ambulance service with allegedly filing $4.4 million in fraudulent Medicare claims for transporting patients who did not need the service. Beana Bell, who owns Superior EMS Ambulance Co. in Huntingdon Valley, and her husband, Vadim Fleshler, are accused of recruiting and paying dialysis patients up to $500 a month to use their service, even when the patients could walk. Fleshler, 32, and Bell, 31, were arrested Wednesday morning by federal agents.