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Tag: Fraud


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Georgia man pleads guilty to $127M fraud scheme

December 21, 2023HME News Staff

NEWARK, N.J. – Nicco Romanowski, of Roswell, Ga., pleaded guilty to conspiracy to violate the federal anti-kickback statute and conspiracy to commit health care fraud. From June 2017 through May 2019, Romanowski participated in a scheme with DME companies, telemedicine companies and doctors to submit false claims to health care benefit programs, including Medicare and Tricare. In total, Romanowski and his conspirators caused the submission of false and fraudulent claims to health care benefit...

Fraud, Medicare


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Physician charged with receiving more than $13M in fraudulent payments

December 6, 2023HME News Staff

SPOKANE, Wash. – Thomas Andrew Webster, M.D., of Sylvania, Ohio, has been charged by with one count of conspiracy to violate the Anti-Kickback Statue in connection with a fraudulent medical supply scheme that targeted elderly Medicare and TRICARE beneficiaries throughout Washington and in other states. According to charges announced by Vanessa R. Waldref, the United States Attorney for the Eastern District of Washington, between May 2021 and September 2023, “Company A” allegedly...

Fraud


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OIG warns of RPM scam 

November 27, 2023HME News Staff

WASHINGTON – The Office of Inspector General has posted a consumer alert about a fraud scheme involving monthly billing for remote patient monitoring. The OIG says unscrupulous companies are signing up Medicare beneficiaries for monitoring using medical devices like scales, glucose monitors, blood pressure cuffs, cardiac rhythm devices and other equipment, regardless of medical necessity. The agency says these companies are signing up bennies for these services in several ways, including phone...

consumer alert, Fraud, Office of Inspector General (OIG), Remote Patient Monitoring


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Two plead guilty in brace scheme 

November 14, 2023HME News Staff

ATLANTA – Brett Weiner and Valerie Desalvo have pleaded guilty to federal conspiracy charges for their role in buying and selling fake doctors’ orders used to obtain more than $1.5 million in fraudulent payments from Medicare, according to the U.S. Attorney’s Office for the Northern District of Georgia. Weiner and Desalvo owned and operated Laboratory Marketing Services, a business in Boca Raton, Fla., that, among other things, received kickback payments in exchange for patient...

Braces, Fraud, Medicare


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Nurse charged with brace scheme 

October 10, 2023HME News Staff

BOSTON – A Virginia-based nurse practitioner has been charged with one count of conspiracy to commit health care fraud in connection with a $7.8 million telemedicine fraud scheme involving medically unnecessary DME, including back and knee braces. According to charging documents, between December 2018 and April 2020, Daphne Jenkins worked with a telemedicine company to sign orders for medically unnecessary DME. She allegedly signed orders that were pre-populated based on telemarketing calls...

Braces, Fraud


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Two charged in Medicare scam for power mobility

August 31, 2023HME News Staff

 BROWNSVILLE, Texas – Maria Luisa Yzaguirre and Jeremiah Yzaguirre, both of Harlingen, Texas, have been charged with conspiracy to commit health care fraud, aggravated identity theft and money laundering. The charges allege that between 2019 and 2023, the Yzaguires submitted more than $14 million in claims to Medicare for power wheelchairs, power scooters, parts and repairs for 37 individuals. In multiple instances, they allegedly billed Medicare more than $600,000 for parts and repairs...

Fraud, Medicare, Power mobility devices


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Florida man pleads guilty to fraud

August 24, 2023HME News Staff

 TRENTON, N.J. – Patrick Fitchner of Orlando, Fla., pleaded guilty Aug. 22 to one count of conspiracy to commit health care fraud in Trenton federal court. Fitchner and his conspirators solicited and received kickbacks and bribes in exchange for providing DME companies with completed doctors’ orders for medically unnecessary DME, such as orthotic braces, using telemedicine companies to obtain the prescriptions. The DME orders were subsequently fraudulently billed to Medicare and...

Fraud, Medicare


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Man charged in telemedicine scheme

July 26, 2023HME News Staff

BOSTON – David Santana, owner of Conclave Media and Nationwide Health Advocates, will plead guilty to one count of conspiracy to commit health care fraud in connection with a $44 million telemedicine fraud scheme involving medically unnecessary durable medical equipment, including orthotics such as back and knee braces, and genetic tests. According to the charging documents, between January 2018 and August 2021, Santana, through his companies Conclave and Nationwide, entered into business...

Fraud, Health Care, Orthotics


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California fraud watch: Guilty verdict in Redondo beach

June 29, 2023HME News Staff

LOS ANGELES – Tamara Yvonne Motley, 54, a.k.a. “Tamara Ogembe,” of Redondo Beach, Calif., was found guilty of nearly two dozen felonies for billing Medicare more than $24 million by submitting fraudulent claims for medically unnecessary durable medical equipment – mostly power wheelchairs and repairs, many of which were never performed. She was found guilty by a federal jury of 20 counts of health care fraud, two counts of aggravated identity theft, and one count of conspiracy...

Fraud, Home Medical Equipment (HME), Medicare


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Florida man convicted in diabetes fraud scheme

June 13, 2023HME News Staff

MIRAMAR, Fla. – A federal jury has convicted Steven King, 45, of Miramar, Fla., for conspiracy to commit health care fraud and wire fraud for dispensing unnecessary lidocaine and diabetes testing supplies and billing Medicare more than $50 million. King was the chief compliance officer of AIC Holdings, which held pharmacies in various states including All American Medical Pharmacy in Warren, Mich. King and his co-conspirators took several steps to conceal their scheme, including enrolling their...

Fraud, Medicare


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