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Medicare Fraud

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NEWS
August 4, 1989 | By Edward Colimore, Inquirer Staff Writer
Two companies that performed hearing tests have been charged with Medicare fraud after allegedly soliciting social workers at senior citizens' centers to set up group screening tests, federal prosecutors said yesterday. The firms, Geri-Care Inc. and Mobile Audio Inc., and two Geri-Care officers, Michael and Lori Koffler of Long Island City, N.Y., sent mobile vans to the centers and had a physician examine patients and order numerous tests, prosecutors said. A civil complaint alleges that in virtually every case, the physician did not review the tests or use the results.
NEWS
December 11, 2009 | By Robert Moran INQUIRER STAFF WRITER
Robert Saul and his wife allegedly thought they could get rich by giving people expensive power wheelchairs and other medical equipment - equipment they didn't need - and falsely billing Medicare. And they thought they had their bases covered by allegedly telling baffled recipients that Philadelphia was giving out $3,200 wheelchairs for free, or having sources in doctors' offices intercepting phone calls from confused patients. But the alleged scheme fell apart, according to U.S. Attorney Michael L. Levy.
BUSINESS
September 25, 2008 | By Roslyn Rudolph INQUIRER STAFF WRITER
Cooper University Hospital will pay a $3.85 million fine to settle allegations of Medicare fraud, the U.S. Justice Department announced yesterday. The hospital was accused of increasing charges to Medicare patients to boost its reimbursement from the federal health-care program. Cooper denied any wrongdoing and said it "did not game this system. " The Justice Department said in a separate release that from January 2001 to August 2003, Cooper improperly inflated charges for both inpatient and outpatient care so that it could obtain higher amounts of "outlier payments.
NEWS
May 3, 2012 | By Kelli Kennedy and Pete Yost, Associated Press
MIAMI - Federal authorities charged 107 doctors, nurses, and social workers in seven cities with Medicare fraud Wednesday in a nationwide crackdown on unrelated scams that allegedly billed the taxpayer-funded program $452 million - the highest dollar amount in a single Medicare bust in U.S. history. It was the latest in a string of major arrests in the last two years as authorities have targeted fraud that is believed to cost the government $60 billion to $90 billion a year. Stopping Medicare's budget from hemorrhaging that money will be key to paying for President Obama's health-care overhaul.
NEWS
October 17, 2012 | BY MICHAEL HINKELMAN, Daily News Staff Writer
A CALIFORNIA, man pleaded guilty in federal court Monday to bilking Medicare by operating a bogus clinic near Einstein Medical Center in Logan. George Baginyan, 32, could face more than 24 months in a federal lockup when he is sentenced Jan. 30. Prosecutors alleged that Baginyan, as owner of New Era Health Center, made it appear as if a doctor provided services to an elderly and frail osteopath between December 2008 and October 2009 when the doctor never set foot in the clinic.
NEWS
June 20, 1996 | by Jim Smith, Daily News Staff Writer
An area medical-equipment supplier and its former owners have agreed to pay more than $4 million to the federal government to settle Medicare fraud claims that were initially brought by a whistle-blower. Robert P. Wolk, of Philadelphia, and Robert Miller, of Blue Bell, Montgomery County, former owners of Advanced Care Associates Inc. in Fort Washington, and their wives, also have agreed to lifetime debarrment from the Medicare program, authorities announced yesterday. The whistle-blower, identified in court records only as Christopher Piacentile, is to receive a $600,000 share of the settlement from the government, according to court records.
BUSINESS
October 13, 2011 | By Bob Fernandez, Inquirer Staff Writer
The operator of a Philadelphia hospice-care business was indicted Wednesday for allegedly defrauding Medicare of $14.3 million. Matthew Kolodesh, of Churchville, Bucks County, operated Home Care Hospice Inc. in the 2800 block of Grant Avenue and was charged with submitting claims to Medicare for patients who weren't eligible for hospice or who didn't receive care, U.S. Attorney Zane David Memeger said. Among the ineligible patients were people who weren't dying, according to the grand jury indictment.
NEWS
April 27, 2012 | By Michael Hinkelman, Daily News Staff Writer
A Montgomery County man who bilked Medicare in an ambulance transport scheme was sentenced Thursday to time served and ordered to repay the government health insurance program for seniors more than $1.3 million. Boris Rostovsky, 44, formerly of Bryn Athyn, pleaded guilty in August to health-care fraud. He had been in custody since his arrest in February 2011. Federal prosecutors said that in May and June 2010, Rostovsky schemed to bilk Medicare by directing his employees to transport patients via his private ambulance company, Grey Eagle Inc. The patients were not eligible for transport by ambulance because they could walk or sit in a wheelchair, Assistant U.S. Attorney Michelle Morgan said in court papers.
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NEWS
June 24, 2016 | By Janaki Chadha, STAFF WRITER
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.
BUSINESS
June 6, 2016 | By Harold Brubaker, Staff Writer
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.
BUSINESS
May 18, 2016 | By Harold Brubaker, STAFF WRITER
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.
BUSINESS
July 30, 2014 | By Harold Brubaker, Inquirer Staff Writer
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.
BUSINESS
July 28, 2014 | By Harold Brubaker, Inquirer Staff Writer
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.
NEWS
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.
NEWS
June 23, 2014 | BY JULIE SHAW, Daily News Staff Writer shawj@phillynews.com, 215-854-2592
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.
NEWS
September 27, 2013 | By Tricia L. Nadolny, Inquirer Staff Writer
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.
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