Health Care Fraud Report Index-Summary

CALIFORNIA

– Cardiac diagnostic firm settles whistleblower suit (C.D. Cal.), 576
– Clinic, W. Hollywood, conspiracy arrests (Cal. Super. Ct.), 220
– DME

– – Collateral attack, convicted supplier's suit rejected (E.D. Cal.), 620
– – Firm owner pleads guilty (C.D. Cal.), 342
– – Wheelchairs

See Wheelchairs, this heading

– Home health care, unlicensed providers, convictions (C.D. Cal.), 612
– Homeless patients

– – Kickbacks, sentence (C.D. Cal.), 172
– – Medical necessity (C.D. Cal.), 76; guilty plea, 173; Intercare Health Sys. added to settlement, 458

– Hospitals

– – Contract suit, neurosurgeon, loan payments, remand (S.D. Cal.), 124
– – Medication errors, 13 facilities, penalties, 131
– – Nonprofit El Centro hospital settles charges (S.D. Cal.), 806
– – Outlier billing claims, settlement, 744

– Insurance plans, 2009 report, 179
– Los Angeles, Medicare fraud, guilty plea (C.D. Cal.), 127
– Medi-Cal, 2009 recovery reported, 258
– Patient recruiting, “Skid row” patients, hospital official sentenced (C.D. Cal.), 744
– Pharmaceuticals

– – AIDS drugs diluted, doctor sentenced (C.D. Cal.), 215
– – Cancer drugs not provided, guilty plea (C.D. Cal.), 341

– Physicians falsified test results, indictments (E.D. Cal.), 457
– SNF, convicted owner not denied effective counsel (C.D. Cal.), 453
– Wheelchairs

– – Kickbacks, patient recruiter found guilty (C.D. Cal.), 218; firm owner sentenced, 422; recruiter sentenced, 453
– – Los Angeles, sentence, fine (C.D. Cal.), 122
– – Medical necessity, DME firm owner sentenced (C.D. Cal.), 293

CANCER

– Breast cancer, drop in insurance coverage alleged, HHS response, 396
– Drugs

– – Doctor pleads guilty to not providing cancer drugs (C.D. Cal.), 341
– – Forged prescriptions, sentence (N.D. Ga.), 31
– – Rituxan, off-label use allegations (E.D. Pa.), 508; whistleblower denied access to grand jury transcripts, 841

– Evidence ignored in Medicare denial of chemotherapy tests (W.D. Pa.), 794
– False claims, clinic and doctor settle whistleblower case (M.D. Fla.), 290
– Kickbacks

– – Brain tumor patients, assistance program allowed, IG, 731
– – Dietitian and social worker services allowed, IG, 544

CARDIOLOGY

– Atricure, unapproved surgery uses, settlement, 111
– Conflicts of interests

– – Self-referrals, cardiologists want to start disclosure protocols, 378
– – Transcatheter aortic valves, probe disclosed, 244

– Drugs, unapproved, false reports, settlement, 373
– False claims

– – Bioimpedance tests, Ariz. doctor settles charges, 836
– – Cardioverter-defibrillators, probe announced, 412; 416
– – Whistleblower suit, diagnostic firm settles (C.D. Cal.), 576

– Kickbacks

– – Cardiologists referred to hospital, settlement (S.D. Ohio), 450
– – Declaratory judgment suit against hospital dismissed (S.D. Tex.), 618
– – Heart device maker and hospitals settle claims (N.D. Ohio), 504
– – Pacemaker, doctor kickbacks, second-filed suit (D. Colo.), 338

– Off-label use, Cardioblate system, particularity lacking (S.D. Tex.), 841

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

– Accountable care organizations, workshop scheduled, 729
– Administrator, Tavenner to serve until Berwick confirmed, 381
– Ancillary service exception, hospitals seek inclusion, 730
– Contract issues discussed at Senate panel hearing, 377
– Contractors, CMS oversight

– – Error-rate data to identify providers not used, IG, 832
– – Grassley (R-Iowa) criticizes, 831

– Deceased beneficiaries, unrecovered 2006 and 2007 claims, IG, 790
– DME, competitive bidding program, CMS delays announcing winners, 830
– Error rate report, absence, 11
– Information technology incentives, meaningful use rule discussed, 816
– Integrity, new program proposed, 159; tailored approach stressed by official, 334
– Newsletter on avoiding compliance issues introduced, 834
– Outlook, 42
– RACs

See RECOVERY AUDIT CONTRACTORS (RACs)

– Reorganization, Insight, 360
– Stark exceptions for e-records, comments sought on data collection burdens, 735
– Taxes, CMS/IRS data sharing

See LEGISLATION, FEDERAL, HR 4213

CHILDREN'S HEALTH CARE

– Celexa for children and teens, settlement (D. Mass.), 741
– Conn. pediatricians, after-hours care, settlement, 333
– Dental firm, substandard care, settlement (D. Md.), 72
– EMTALA, no liability for baby's death after treating pregnant accident victim (E.D. Okla.), 126; rehearing denied, 384
– Kickbacks, one free post-tonsillectomy stay allowed, IG, 787
– Mental health services

– – Residential facility, billing (W.D. Va.), 216; parent firm not liable for subsidiaries' acts, 656
– – Unlicensed staff, billing, director sentenced (D. Idaho), 454

– Mo. billing charges, pediatrician settles, 812
– Pediatrician's seized patient files, suppression vacated (6th Cir.), 521
– PPACA, screening of high-risk providers, enhanced methods proposed, 727; House panel hearing held, 790
– Zyprexa, off-label marketing, settlement (E.D.N.Y.), 336

CHIROPRACTIC SERVICES

– Blue Cross plan filings, indictments (E.D. Pa.), 135
– Expired license, pain center owner fined (N.J. Super. Ct,), 465
– Health clubs

– – Horsham, Pa. club, chiropractor charged (E.D. Pa.), 512
– – Rehab One, club charged (E.D. Pa.), 260

– Insurer's fraud suit may proceed (N.D. Ill.), 858
– Maywood, Ill., indictment (N.D. Ill.), 260
– N.C. clinics, unperformed services billed, guilty pleas (E.D.N.C.), 513
– Privacy, intercepting patient conversations, conviction upheld (6th Cir.), 214
– RICO charges dropped, billing claims remain (N.D. Ill.), 168; bad faith counterclaims disputed, 253

CIVIL MONETARY PENALTIES (CMPs)

– Atricure, unapproved cardiac surgery uses, 111
– Doctor-owned firm, Ill., kickbacks and referrals, IG settlement, 571
– Nursing home violations, self-reported, lower penalties proposed, 570
– Podiatrist, $1M settlement (S.D.N.Y.), 81
– SNFs

– – Ark., patients in immediate jeopardy (8th Cir.), 22
– – Fine imposed after buyer paid penalty (2d Cir.), 553
– – N.C., Medicare well-being and safety rules (4th Cir.), 117

CLAIMS PROCESSING

– Natl. Provider Identifier (NPI) required for claims, 375

CLASS ACTIONS

– Contract suit against insurer not barred by settlement (11th Cir.), 415
– Insurers, excessive fees for record retrieval, amended filing allowed (E.D. La.), 558

CLINICAL TRIALS

– Conflicts of interest, Pfizer discloses payments to health care professionals, 349

CMS

See CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

COLORADO

– Billing

– – Medical devices, officers indicted for mail fraud (D. Colo.), 847
– – Unlicensed provider charged (D. Colo.), 621

– Controlled substances obtained by fraud, doctor arrested (D. Colo.), 753
– Cost-saving bills introduced, 177
– Medicaid

– – Post-payment review, $264M recovered, 37
– – State anti-fraud measure signed, 462

COMPLIANCE PROGRAMS

– Corporations, Atty. Gen. Holder, Insight, 142
– Health care compliance budgets, survey, 13
– Nursing home violations, self-reported, lower penalties proposed, 570

COMPUTERS AND COMPUTER EQUIPMENT

– HIPAA, data on portable disk drive (D. Conn.), 73
– Hospitals, kickbacks, survey sent, 65

CONFERENCES AND MEETINGS

– Am. Bar Ass'n

– – Emerging issues, 162
– – False claims and qui tam enforcement, 523; 523; 525
– – PPACA teleconference, 407

– Am. Conference Inst., 448
– Am. Health Lawyers Ass'n, 284; 715; 814; 814; 815; 815; 816
– BNA webinars, 284; 412; 466; 518; 530; 549; 592; 628; 648; 692; 766; 813; 836
– Center for Business Intelligence

– – Enforcement trends, Special Report, 140
– – FCPA prosecutions, 792
– – Medical device and diagnostic compliance, 495; 500
– – State laws, 710

– Centers for Medicare & Medicaid Services (CMS), 380
– Health Care Compliance Ass'n, 330; 334; 831
– McDermott Will & Emery webinar, 496
– Medicare Payment Advisory Comm'n, 63; 64; 206
– Natl. Health Care Fraud Summit, 109
– Natl. Medicare RAC Summit, 198; 767
– N.Y. Bar Assn., 112
– RSA data security conference, 205

CONFIDENTIALITY

See PRIVACY AND CONFIDENTIALITY

CONFLICTS OF INTEREST

– Aggregate spend disclosure laws and sunshine, compliance challenges, BNA Insights, 533
– DME consignment closets, CMS limitation rule rescinded, 160
– Federal gift disclosure law discussed, 495
– Medtronic

– – Payments to doctors, 519
– – Transcatheter aortic valves, probe disclosed, 244

– New York

– – Marketing, restrictions, 132
– – State and federal regulators, 112

– Pharmacy benefit managers, feedback sought on transparency proposal, 243
– Physicians

– – Specialists' group adopts ethics code, 395
– – Supplier/physician deals, compliance, 17

– Renewed scrutiny of drug and device industries predicted, Insight, 269
– Research

– – Industry ties, support for disclosure studied, 395
– – Pfizer discloses payments made to health care professionals, 349

CONNECTICUT

– Arthritis injections administered improperly, charges settled (D. Conn.), 803
– HIPAA, data on portable disk drive (D. Conn.), 73
– Infusion therapy, hospital settles claims, 207
– Pediatricians, after-hours care, settlement, 333
– Pharmacists

– – Greenwich, sentence (Conn. Super. Ct.), 424
– – Manchester, guilty plea (Conn. Super. Ct.), 302

– Rheumatologist, whistleblower suit (D. Conn.), 25
– SNFs, failure to check employee exclusion list, fine, 409; employee sentenced (D. Conn.), 664

CONSPIRACY

– Clinics

– – Detroit-area, Medicare scheme, sentence (S.D. Fla.), 117
– – HIV infusion, owner found guilty (S.D. Fla.), 616
– – Pain management doctors plead guilty (S.D. Tex.), 384
– – W. Hollywood, $50M scheme alleged, arrests (Cal. Super. Ct.), 220

– DME, mechanic's sentence upheld (11th Cir.), 839
– Infusion therapy

– – Rehabilitation center, employee pleads guilty (E.D. Mich.), 345
– – Sham services, clinic owner sentenced (E.D. Mich.), 293

– Long-term care facilities, operators convicted (W.D. Mo.), 798
– Medicare

– – Motion to vacate sentences denied (S.D. Fla.), 613
– – Strike Force, sentencing and acquittal (C.D. Cal.), 19

– Misbranding Lyme disease treatment, conspiracy, guilty plea (D. Kan.), 797
– Patient recruiting

See PATIENT RECRUITING

– Personal care services, false documents, indictments (N.M. Dist. Ct.), 221
– Physical therapy

– – Farmington Hills, doctor convicted (E.D. Mich.), 250; therapist sentenced, 292; firm owner sentenced, 345; another therapist sentenced, 514; doctor sentenced, 693
– – Wayne County Therapeutic, clinic owner and employee sentenced (E.D. Mich.), 583

– Physicians

– – Referrals, agencies, sentence (E.D. Mich.), 30
– – Test results falsified, doctors indicted (E.D. Cal.), 457

– Psychiatric facility, CEO and doctor sentenced (N.D. Ill.), 30; ex-director sentenced, 172
– RICO

See RACKETEER INFLUENCED AND CORRUPT ORGANIZATIONS (RICO) ACT

– Wheelchairs

See WHEELCHAIRS

CONTRACTS AND CONTRACTORS

– Ambulance/municipality deal, no kickback sanctions, IG, 830
– Class action settlement does not bar insurance contract suit (11th Cir.), 415
– CMS contract management

– – Error-rate data to identify providers not used, IG, 832
– – Managed care, CMS review of state rate setting flawed, GAO reports, 650
– – Oversight lacking, Grassley (R-Iowa) says, 831
– – Senate panel hearing held, 377

– Hospital, neurosurgeon, loan payments, remand (S.D. Cal.), 124
– Medicaid contractors need not seek reimbursement from negligent providers (8th Cir.), 659
– Medicare, information security, gaps found, IG, 609
– Qui tam suits, job contracts, whistleblowers, 162
– Recovery audit contractors

See RECOVERY AUDIT CONTRACTORS (RACs)

– Zone Program Integrity Contractors

– – Billing probed, Insight, 188
– – CMS contractors, GAO sustains two protests, 202
– – Preventing fraud discussed at forum, 814
– – Unaccounted Medicare overpayment referrals, IG, 411

CORPORATE GOVERNANCE

– Compliance professionals, Atty. Gen. Holder, Insight, 142
– Criminal sentence reductions, compliance plans, proposal, 376
– Derivative suit alleging illegal conduct in false claims case dismissed (E.D. Pa.), 748
– Direct compliance reporting, report, 447
– HIPAA, HHS proposes extending rule to business associates of covered entities, 573
– Monitoring pacts to resolve criminal cases, DOJ guidance for prosecutors, 497
– Nonprofit firms

See NONPROFIT ORGANIZATIONS

– Strong ethical culture reduces internal misconduct, report, 547

CRIMINAL PROSECUTION

– AIDS and HIV

– – False claims, guilty pleas (S.D. Fla.), 343
– – Infusion clinics

– – – Former fugitive pleads guilty (S.D. Fla.), 700
– – – Kickbacks, sentence (S.D. Fla.), 126
– – – Money laundering, billing fraud, owner found guilty (S.D. Fla.), 616
– – – Operator detained (S.D. Fla.), 425

– – NYC, billing mill, doctors charged (S.D.N.Y.), 122
– – Unnecessary treatments, Miami, sentence (11th Cir.), 120

– Ambulance services

– – Dallas, manager pleads guilty (N.D. Tex.), 294; owner pleads guilty, 843
– – Dialysis patients, unnecessary transports, executive sentenced (S.D. Tex.), 511
– – False claims, office manager found guilty (W.D. Va.), 578
– – Houston, owners sentenced (S.D. Tex.), 663
– – Medical necessity, office manager sentenced (E.D.N.C.), 294

– Armenian-American organized crime, 44 people charged (S.D.N.Y.), 828
– Cardiologists

– – Diagnostic firm settles whistleblower suit (C.D. Cal.), 576
– – Doctor sentenced (N.D. Ill.), 701; civil charges settled, 807

– Chiropractic services

– – Blue Cross filings, indictments (E.D. Pa.), 135
– – Horsham, Pa., health club, chiropractor charged (E.D. Pa.), 512
– – Maywood, Ill., indictment (N.D. Ill.), 260
– – N.C. clinics, unperformed services billed, guilty pleas (E.D.N.C.), 513
– – Privacy, intercepting patient conversations, conviction upheld (6th Cir.), 214
– – Rehab One, health club and chiropractor charged (E.D. Pa.), 260
– – RICO charges dropped, billing claims remain (N.D. Ill.), 168; bad faith counterclaims disputed, 253

– Clinics

– – Detroit-area, Medicare scheme, sentence (S.D. Fla.), 117
– – S. Fla., six people charged in $13M scheme (S.D. Fla.), 342; brothers plead guilty, 659; employee and nurse plead guilty, 701
– – W. Hollywood, $50M scheme alleged, arrests (Cal. Super. Ct.), 220

– Controlled substances

– – Exclusion, doctor's challenge dismissed (S.D.W. Va.), 742
– – Ill. doctor sentenced (S.D. Ill.), 294
– – Internet pharmacies

– – – Anxiety, insomnia, weight loss drugs, doctor sentenced (D.N.J.), 349
– – – Discounted drugs, 23 firms, owner sentenced (N.D. Tex.), 33

– – Obtaining drugs by fraud, doctor arrested (D. Colo.), 753
– – Okla. doctor's conviction upheld (10th Cir.), 581
– – Osteopathic physician pleads guilty (W.D. Mo.), 662
– – Painkillers, doctor and wife convicted (D. Kan.), 580

– Dentists

– – Billing fraud, indictment (Mass. Super. Ct.), 258
– – Drug trafficking and fraud, sentence (Ky. Cir. Ct.), 37
– – FCA case to proceed against dentist convicted of Medicaid fraud (W.D. Va.), 554
– – “Free” checkups at public schools, guilty plea, 393
– – Tex. dentist indicted (N.D. Tex.), 702
– – Unlicensed personnel, oral surgeon indicted (S.D. Tex.), 580
– – Unperformed services, conviction (S.D. Tex.), 806

– Dermatologists

– – Resentencing ordered (9th Cir.), 698
– – Revoked billing privilege (D. Mass.), 421

– DME

– – Adult diapers

– – – Firm owner indicted (S.D. Tex.), 171; guilty plea, 344; sentenced, 757
– – – Houston, federal grand jury indictments (S.D. Tex.), 577

– – “Arthritis kits”

– – – Doctor and supply firm owner plead guilty (S.D. Tex.), 552
– – – Family Med. Services, guilty pleas (S.D. Tex.), 292; health care fraud guilty plea, 806; Medicare fraud guilty plea, 842

– – Artificial limbs, diabetic supplies (S.D. Tex.), 171
– – Collateral attack, convicted supplier's suit rejected (E.D. Cal.), 620
– – Conspiracy, one-year sentence (C.D. Cal.), 19
– – Dearborn, ex-owner sentenced (E.D. Mich.), 746
– – Fla., supplier sentence upheld (11th Cir.), 696
– – Hialeah, Fla., $1.4M scheme, conviction (S.D. Fla.), 121
– – Houston, willful obstruction, resentencing ordered (5th Cir.), 419
– – Lacary Med. Services, owner sentenced (S.D. Fla.), 425
– – Longview, Tex., operator pleads guilty (S.D. Tex.), 619
– – Los Angeles, Medicare fraud, guilty plea (C.D. Cal.), 127
– – Mechanic's fraud sentence upheld (11th Cir.), 839
– – Medical supply firm charged (E.D. Pa.), 20
– – Medicare fraud of $3.2M, sentence affirmed (11th Cir.), 383
– – Orthopedic kits, indictment (E.D. Tex.), 173
– – Orthotic equipment, sentence (N.D. Tex.), 340
– – Provider identity theft, indictment (S.D. Tex.), 171; guilty plea, 218
– – San Antonio, $1.8M scheme, indictments (W.D. Tex.), 77
– – Sentence, 87-month, for DME operator upheld (11th Cir.), 513
– – Sham firm, $1.5M scheme, operator convicted (D. Mass.), 344; sentenced, 700
– – S. Cal. firm owner pleads guilty (C.D. Cal.), 342
– – Supply firm owner, $36M scheme, 30-year sentence (S.D. Tex.), 74
– – Threatening Medicare officials during probe, sentence (S.D. Fla.), 215
– – Wheelchairs

See Wheelchairs, this heading

– Drugs

– – Anesthesiologist, research fraud, guilty plea (D. Mass.), 78; formal plea entered, 217; sentence, 581
– – Cancer drugs not provided, doctor pleads guilty (C.D. Cal.), 341
– – Cash substituted for AIDS drugs, sentences (N.J. Super. Ct.), 463
– – Charity discounts, illegal resales, sentence upheld (11th Cir.), 695
– – Conspiracy, Houston pain management doctors plead guilty (S.D. Tex.), 384
– – Forged prescriptions, sentence (N.D. Ga.), 31
– – Levothroid and Celexa, false claims, settlement (D. Mass.), 741
– – Misbranding

– – – Adulterated or misbranded products, Insight, 635
– – – Lyme disease treatment, conspiracy, guilty plea (D. Kan.), 797
– – – OxyContin, drug firm executives (D.D.C.), 119

– – Off-label promotions

– – – Rituxan, bribery allegations (E.D. Pa.), 508; whistleblower denied access to grand jury transcripts, 841
– – – Seroquel, settlement, 372
– – – Topamax, settlement, 373
– – – Trileptal, $185M fine, 111; civil fine set, 782

– – Pharmacists

See Pharmacists, this heading

– – Reporting violations, unapproved drugs, KV Pharm. pleads guilty (E.D. Mo.), 209
– – Substance abuse

See Controlled substances, this heading

– Embezzlement by health plan officer, refusal to dismiss indictment upheld in part (2d Ct.), 858
– Enforcement

– – Compliance plans, reduced sentences, proposal, 376
– – Deferred- and nonprosecution pacts, accountability, 65
– – Increased cases discussed, 284
– – Monitoring pacts to resolve criminal cases, DOJ guidance for prosecutors, 497
– – N.J., sentencing law signed, 588
– – N.Y., 2009, record convictions, 347
– – Or. attorney general adds staff for prosecution, 347
– – Pleading requirements for Medicare fraud, Insight, 354

– Home health care

– – Agency owner's sentence for bogus orders affirmed (6th Cir.), 455
– – Bogus claims filed by individual, conviction affirmed (9th Cir.), 520
– – Brooklyn, N.Y., clinic pleads guilty to grand larceny, 630
– – Detroit, arrests (E.D. Mich.), 70; sixth guilty plea, 424; assistants plead guilty, 620; guilty plea, 805; sentence, 843
– – Falsifying patient forms, nurse indicted (S.D. Tex.), 758
– – Florida

– – – Billing scheme, three defendants sentenced (S.D. Fla.), 798
– – – Clinic owner, nurses and recruiter plead guilty (S.D. Fla.), 661
– – – Medicare scheme, guilty pleas (S.D. Fla.), 745

– – Houston, unnecessary services, indictments (S.D. Tex.), 584
– – N.J. couple plead guilty (N.J. Super. Ct.), 669
– – N.C., two providers sentenced (W.D.N.C.), 555
– – Personal care services

See Personal care services, this heading

– – Physical therapy

See Physical therapy, this heading

– – Unlicensed providers, convictions (C.D. Cal.), 612

– Homeless patients, medical necessity, guilty plea (C.D. Cal.), 173
– “Honest-services” fraud law covers only bribery and kickbacks (U.S., aff, vac and rem), 550; implications of ruling, Insight, 594
– Hospitals

– – HIPAA, patient data allegedly disclosed, indictment (W.D. Pa.), 756
– – Unnecessary admissions, five people charged (Fla. Cir. Ct.), 630

– Immigration effect of guilty plea, motion to vacate untimely (E.D.N.Y.), 508
– Infusion therapy

– – AIDS patients

See AIDS and HIV, this heading

– – Clinic, owner arraigned (S.D. Fla.), 20
– – Fla. doctor sentenced (S.D. Fla.), 166
– – J&F Community Med. Center., owner pleads guilty (S.D. Fla.), 752
– – Operators and recruiters sentenced (S.D. Fla.), 660
– – Project New Hope clinic, billing conviction affirmed (11th Cir.), 506
– – Rehabilitation center, employee pleads guilty (E.D. Mich.), 345
– – Sham clinic, Detroit, doctor and employee convicted (E.D. Mich.), 290; clinic operator sentenced, 700
– – Sham services, owner sentenced (E.D. Mich.), 293
– – Unnecessary treatments, doctor convicted (E.D. Mich.), 77; sentenced, 385

– Insurance

– – Auto claims

– – – Doctor and acupuncturist, sentence (S.D.N.Y.), 134
– – – Staged accident, seven arrested (Fla. Cir. Ct.), 813

– – Broker sentenced for Medicaid fraud (Mo. Cir. Ct.), 517
– – Fake sales, TRO issued (M.D. Tenn.), 711
– – HMO, convictions of La. executives upheld (5th Cir.), 251
– – Whistleblower suit filed against WellCare (M.D. Fla.), 576

– Jurisdiction, fraud conviction dismissed in part (11th Cir.), 699
– Medical devices

– – Custom braces, billing fraud, firm owner arrested (Ala. Cir. Ct.), 762
– – FCPA, industry target for prosecutions, lawyer says, 792
– – Mail fraud, Denver, officers indicted for mail fraud (D. Colo.), 847
– – Orthopedic implant maker agrees to reforms (D.N.J.), 802

– Medicare fraud

– – Billing MA program, Fla. resident with Tenn. firm indicted (M. D. Tenn.), 797
– – Conspiracy, motion to vacate sentences denied (S.D. Fla.), 613
– – MA and Medicare schemes, $65M, sentence (S.D. Fla.), 128

– Mental health

– – Field trips billed, unlicensed staff, director sentenced (D. Idaho), 454
– – Lying to FBI about billing practices, psychiatrist pleads guilty (E.D. Mo.), 845
– – Pre-sentence report, calculation of losses remanded (6th Cir.), 614
– – Psychiatrist, guilty plea (N.Y. Sup. Ct.), 35
– – Services firm billing, owner sentenced (E.D.N.C.), 757
– – Submitting associate's work as own, doctor's conviction upheld (5th Cir.), 743
– – Therapy services at SNFs, conviction upheld (7th Cir.), 213

– Nonphysician practitioners

– – Billing, unlicensed provider charged (D. Colo.), 621
– – Family clinic, Alton, Tex., indictments (S.D. Tex.), 254
– – Pain clinic, manager sentenced (E.D. Tex.), 27

– Nursing homes

– – Death of resident due to workers' negligence, home not criminally liable (Mass.), 442
– – Long-term care, conspiracy, operators convicted (W.D. Mo.), 798
– – St. Louis, inadequate care (E.D. Mo.), 19

– Patient recruiting

– – “Arthritis kits” guilty pleas (S.D. Tex.), 292; health care fraud guilty plea, 806; Medicare fraud guilty plea, 842
– – Physical therapy and diagnostic services, NYC clinic charged (E.D.N.Y.), 422
– – “Skid row” patients, hospital official sentenced (C.D. Cal.), 744
– – Tests, unnecessary, guilty pleas (S.D. Fla. and E.D. Mich.), 339; Mich. clinics, conspiracy plea, 385; clinic owners seek new trial (E.D. Mich.), 745
– – Wheelchairs

See Wheelchairs, this heading

– Personal care services

– – Employee indicted (E.D. La.), 25; time sheets falsified, employee sentenced, 580
– – False documents, indictments (N.M. Dist. Ct.), 221
– – New Orleans, employee sentenced (E.D. La.), 340
– – Services never rendered, prison sentence for employee (E.D. La.), 25

– Pharmacists

– – AIDS drugs, pharmacy technicians (N.J. Super. Ct.), 85
– – Billing, technician, guilty plea (N.D. Ala.), 616
– – Federal employees' health plan defrauded, guilty plea (D.N.J.), 514
– – Fla., Medicare scheme, sentence (S.D. Fla.), 695
– – Greenwich, Conn., sentence (Conn. Super. Ct.), 424
– – Insurance fraud, technician charged (E.D. Mo.), 430
– – Manchester, Conn., guilty plea (Conn. Super. Ct.), 302
– – N.J., false claims restitution ordered (D.N.J.), 670

– Physical therapy

– – Farmington Hills, doctor convicted (E.D. Mich.), 250; physical therapist sentenced, 292; co-conspirator sentenced, 345; another therapist sentenced, 514; doctor sentenced, 693
– – Home services

– – – Primary Physical Med., unqualified employees, convictions (S.D. Miss.), 451; sentences, 750
– – – Statewide Med. trial delayed (S.D. Miss.), 28

– – Lakeland, Fla., clinic owner arrested (M.D. Fla.), 80
– – Money laundering, conviction upheld (6th Cir.), 743
– – Wayne County Therapeutic, clinic owner and employee sentenced (E.D. Mich.), 583

– Physicians

– – Billing for unperformed services, not guilty plea (E.D. Tex.), 757
– – Immigration and tax fraud, doctor sentenced (E.D. Mich.), 802
– – Medicare fraud, NYC doctor arrested (E.D.N.Y.), 799
– – Orthopedic surgeon, guilty plea (D.N.J.), 222
– – Pediatrician's seized patient files, suppression vacated (6th Cir.), 521
– – Pittsburgh doctor, $3.3M plea agreement (W.D. Pa.), 80
– – Plastic surgeons, misbranding, Botox (N.D.N.Y.), 180
– – Referral kickbacks

– – – Agencies owner sentenced (E.D. Mich.), 30
– – – Homeless patients, sentence (C.D. Cal.), 172

– – Scottsdale doctor sentenced (D. Ariz.), 663
– – Waycross, Ga., doctor and hospital charged in qui tam suit (S.D. Ga.), 654

– Podiatrists

– – Foot care clinic, unqualified staff, sentence (S.D. Tex.), 512
– – Houston clinics, guilty plea (S.D. Tex.), 127
– – Obstruction of justice, guilty plea (E.D. Mo.), 81; sentence, 343

– Racketeering, Fla. woman arrested (Mich. Dist. Ct.), 259
– SNF, convicted owner not denied effective counsel (C.D. Cal.), 453
– Social service employees, billing, sentences (E.D. Pa.), 515
– Transport firm, kickbacks, owner charged (Mass. Dist. Ct.), 631
– Wheelchairs

– – Hurricanes

– – – Loss and damage, false claims, sentence (S.D. Tex.), 619
– – – Medical necessity, claim modifier, sentence (S.D. Tex.), 340
– – – Patient recruiters plead guilty (S.D. Tex.), 805

– – Medical necessity

– – – Doctor identification numbers used, firm owner charged (E.D. Pa.), 423
– – – High-end or unnecessary chairs, owner sentenced (C.D. Cal.), 293

– – N.J. supply firm manager arrested (D.N.J.), 341; indicted, 746
– – Operator of two DME businesses sentenced (S.D. Tex.), 619
– – Patient recruiting

– – – Cal. firm, recruiter found guilty (C.D. Cal.), 218; firm owner sentenced, 422; recruiter sentenced, 453
– – – Power chairs and accessories, owners sentenced (C.D. Cal.), 122

– – Texas

– – – Conspiracy, doctor sentenced 10 years (S.D. Tex.), 28
– – – Memorial Med. Supply, owner pleads guilty, fined (S.D. Tex.), 78
– – – Onward Med. Supply, guilty pleas (S.D. Tex.), 424; doctor convicted, 515
– – – Orthotic equipment and chairs, guilty pleas (S.D. Tex.), 423
– – – Scooters billed as motorized chairs, owners sentenced (S.D. Tex.), 33