Tag: Department of Justice

WASHINGTON – The Department of Justice opened 1,148 new criminal health care fraud investigations in fiscal year 2020, according to an annual report published this week. Federal prosecutors filed criminal charges in 412 cases involving 679 defendants. A total of 440 defendants were convicted of health care fraud-related crimes. The DOJ also opened 1,079 new civil health care fraud investigations and had 1,498 civil health care fraud matters pending at the end of fiscal year 2020. Investigative...

WASHINGTON - The owner and operator of a Louisiana-based HME company received a 97-month prison sentence for his role in a $6.7 million Medicare fraud scheme, according to a press release from the Department of Justice (DOJ). On Dec. 13, 2012, a federal grand jury found Kenny Msiakii, of Houston, guilty of eight counts of healthcare fraud. Msiakii was the owner and operator of Joy Supply and General Services, based in Shreveport, La., a company that purported to provide orthotics and other HME, including...

COLUMBIA, S.C. - The government and RS Medical, a provider of TENS units and orthotics supplies, have reached a settlement for more than $1.2 million to resolve claims that employees at the company submitted false claims for several products, according to a press release from the Department of Justice. The documents lacked physician orders, the required documentation and/or medical necessity, according to the DOJ. The investigation began in February 2011 when whistleblower Sally Balentine filed...

WASHINGTON - The Medicare Fraud Strike Force has charged 89 individuals with about $223 million in false billings, according to a press release from the Department of Justice (DOJ) on May 14. Strike Force operations in eight cities resulted in charges against doctors, nurses and other licensed medical professionals for alleged fraud schemes involving, primarily, home health care, but also mental health services, psychotherapy, physical and occupational therapy, DME and ambulance services, the release...

WASHINGTON ­- Two former owners of a Los Angeles-area HME wholesale company pleaded guilty to conspiring with their customers to defraud Medicare, according to a press release from the Department of Justice. Rajinder Singh Paul and Baljit Kaur Paul, the former owners of Major's Wholesale Medical Supply based in Redlands, Calif., entered guilty pleas in the Central District of California Court to one count of conspiracy to commit healthcare fraud. According to court documents, the Pauls sold power...

WASHINGTON - The owner and operator of Joy Supply and General Services in Shreveport, La., was convicted Dec. 14 by a federal jury for his role in a $6.7 million Medicare fraud scheme, according to a press release from the Department of Justice. Kenny Msiakii, 44, of Houston, was convicted of eight counts of healthcare fraud. He purportedly used Joy Supply's Medicare number to submit fraudulent claims to Medicare for HME, including medically unnecessary orthotic devices, which, in some cases, were...