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Health Care Fraud

Crooked Cardio Doc Admits Pocketing $2 Million In Health Insurance Ripoffs Crooked Cardio Doc Admits Pocketing $2 Million In Health Insurance Ripoffs
Crooked Cardio Doc Admits Pocketing $2 Million In Health Insurance Ripoffs The owner and sole medical provider of a Middlesex County medical practice admitted in federal court that he pocketed nearly $2 million in a long-running series of blatant health insurance scams. Dr. Fazal Panezai, a 76-year-old cardiologist from Morganville, at one point submitted claims for a single day's worth of visits to his Matawan-Aberdeen Heart & Medical Center in May 2022 that totaled 27.9 hours, U.S. Attorney Philip R. Sellinger said. Hei also billed health insurance providers more than $80,000 for office visits when he was out of the country, the U.S. attorney said. Panezai …
UPDATE: Owner Of Counseling Center In Paramus Admits $700,000 Health Care Fraud UPDATE: Owner Of Counseling Center In Paramus Admits $700,000 Health Care Fraud
Update: Owner Of Counseling Center In Paramus Admits $700,000 Health Care Fraud UPDATE: The owner of a counseling and mental health center in Paramus admitted Tuesday that she scammed private insurers out of $700,000 by billing for patients who either were out of the country, had stopped coming or were never there in the first place. Bergen Alliance Counseling Services served children, families, couples, and adults, but Maria P. Cosentino, 60, of Garfield admitted on March 19 in U.S. District Court in Newark that she also took care of herself. Cosentino (photo above) ran the health care fraud scam at Bergen Alliance for 5½ years by "making up visits for counseling and …
NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More
NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More UPDATE: New Jersey authorities have legally seized $6.4 million and other assets from a chain of mental health clinics founded by a recently deceased Liberian presidential candidate for billing Medicaid for more than 10,000 bogus claims. Daniel E. Cassell, formerly of Perkasie, PA was under a 17-count state indictment when he died of an apparent heart attack at 56 years old on Christmas Day 2022. The West African-born Cassell -- who was a psychologist, business consultant and politician and founding member of Liberia's People Liberation Party -- was the president and chief executive officer…
$127M Scheme: Business Owner From Chestnut Ridge Admits To Being Major Figure In Scam, Feds Say $127M Scheme: Business Owner From Chestnut Ridge Admits To Being Major Figure In Scam, Feds Say
$127M Scheme: Business Owner From Chestnut Ridge Admits To Being Major Figure In Scam, Feds Say A marketing company owner from Rockland County admitted in federal court that he was a major figure in scamming Medicare, TRICARE, and other benefit programs out of $127 million. Eric Karlewicz, age 44, of Chestnut Ridge, participated in a “circular scheme of kickbacks and bribes” with doctors, durable medical equipment businesses, and telemedicine companies to pull off the massive con, US Attorney Vikas Khanna said. Karlewicz – also known as Anthony Mazza -- used his considerable cut from $63.8 million in payoffs to buy himself a fleet of luxury vehicles that included a Ferrari, a Lamborgh…
Jersey Shore Business Owner From NY Admits $127M Health Care Kickback Scheme: Feds Jersey Shore Business Owner From NY Admits $127M Health Care Kickback Scheme: Feds
Jersey Shore Business Owner From NY Admits $127M Health Care Kickback Scheme: Feds A New Jersey marketing company owner from Rockland County admitted in federal court that he was a major figure in scamming Medicare, TRICARE and other benefit programs out of $127 million. Eric Karlewicz, 44, of Chestnut Ridge, NY, participated in a “circular scheme of kickbacks and bribes” with doctors, durable medical equipment businesses and telemedicine companies to pull off the massive con, U.S. Attorney Vikas Khanna said. Karlewicz – also known as Anthony Mazza -- used his considerable cut from $63.8 million in payoffs to buy himself a fleet of luxury vehicles that included a Ferrari,…
Waterbury Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims Waterbury Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims
Waterbury Hearing Aid Dealer Gets Years In Prison For Submitting False Medicaid Claims The 54-year-old owner of a Connecticut hearing aid dealer will spend several years in prison for submitting false claims to the state's Medicaid program for services and equipment that were not provided or were medically unnecessary.  New Haven County resident Dennis Dellaghelfa, age 54, of Waterbury, was sentenced on Wednesday, Sept. 6 to four years in prison for health care fraud, the US Attorney's Office for the District of Connecticut announced.  According to federal officials, Dellaghelfa, a licensed hearing instrument specialist, is the owner of Waterbury-based hea…
$1M Fraud: Chiropractor In East Meadow Gets Prison After Billing For Ghost Services $1M Fraud: Chiropractor In East Meadow Gets Prison After Billing For Ghost Services
$1M Fraud: Chiropractor In East Meadow Gets Prison After Billing For Ghost Services A Long Island chiropractor will spend time in federal prison after fraudulently obtaining nearly $1 million in insurance payouts for services that were never provided. Peter Adamczack, age 66, of Huntington, was sentenced to one year and a day behind bars in federal court in Central Islip on Monday, July 31. It came one year after he pleaded guilty to health care fraud in August 2022, admitting that he billed a private insurance company over $1 million for acupuncture services that were never performed at his East Meadow office. Earlier Report: Huntington Chiropractor Admits To $1 M…
Pharmacy Owner From Great Neck Engaged In $26M Health Care Fraud Scheme, Feds Say Pharmacy Owner From Great Neck Engaged In $26M Health Care Fraud Scheme, Feds Say
Pharmacy Owner From Great Neck Engaged In $26M Health Care Fraud Scheme, Feds Say Two pharmacy owners, including one from Long Island, are facing federal charges for their alleged roles in a massive health care fraud scheme, authorities said. Taesung Kim, age 58, of Great Neck and Dacheng Lu, age 44, of Flushing, Queens are each accused of submitting false and fraudulent claims to Medicare and Medicaid, according to an indictment unsealed Tuesday, May 2, in federal court in Brooklyn. The pair owned and operated four pharmacies located in Brooklyn and Queens. According to federal prosecutors, between January 2015 and December 2022 Kim and Lu conspired with others to subm…
COVID-19 Fraud: Albany Nurse Midwife Doled Out Phony Vaccination Cards, Feds Say COVID-19 Fraud: Albany Nurse Midwife Doled Out Phony Vaccination Cards, Feds Say
Covid-19 Fraud: Albany Nurse Midwife Doled Out Phony Vaccination Cards, Feds Say A pair of nurse midwives from New York is facing federal charges following a nationwide investigation into COVID-19 related fraud. Kelly McDermott, of Albany, and Kathleen Breault, of Cambridge in Washington County, were among five individuals to be charged for their alleged roles in separate schemes that fraudulently distributed more than 2,600 fake COVID-19 vaccination record cards, according to the US Attorney’s Office in the Eastern District. The investigation also uncovered more than $1.7 million in fraud involving the Paycheck Protection Program and the Economic Injury Disaster Loan …
TAPPIN' IT: Manager Admits Embezzling $4.5M From NJ Brain Injury Fund For Sex With Gal Pals TAPPIN' IT: Manager Admits Embezzling $4.5M From NJ Brain Injury Fund For Sex With Gal Pals
Tappin' IT: Manager Admits Embezzling $4.5M From NJ Brain Injury Fund For Sex With Gal Pals The now-former manager of a fund for traumatic brain injury patients in New Jersey admitted diverting more than $4.5 million in public money to women he was having sex with, authorities said. Harry Pizutelli, 64, of Edison, pleaded guilty by videoconference to conspiring to commit health care fraud before a federal judge in Trenton, U.S. Attorney Philip R. Sellinger announced on Wednesday, Jan. 4. One of the women who benefitted from the scheme, Maritza Flores, 45, of Toms River, pleaded guilty to the same charge, as well as to tax evasion, Sellinger said. In exchange, Pizutelli had amorou…
Ex-Con At Morris County Pharmacy Admits Bribing Jersey City Docs For $2.4M In 'Script Business Ex-Con At Morris County Pharmacy Admits Bribing Jersey City Docs For $2.4M In 'Script Business
Ex-Con At Morris County Pharmacy Admits Bribing Jersey City Docs For $2.4M In 'Script Business A former Morris County pharmacist once convicted of selling oxycodone without prescriptions admitted masterminding a kickback scheme that steered $2.4 million worth of business to his new employer, federal authorities said. Srinivasa Raju, 51, of Haskell, began the new scam at another Morris County pharmacy after serving three years probation -- and losing his pharmacist's license -- following his 2016 state conviction. SEE: Jurors Convict Clifton Pharmacist In Oxycodone Scheme While in that job, Raju "worked with other pharmacy personnel to pay kickbacks and bribes to medical employees in…
Harvard-Educated Sleep Doctor Slept Well In Brookline Home He Bought Defrauding Patients: Feds Harvard-Educated Sleep Doctor Slept Well In Brookline Home He Bought Defrauding Patients: Feds
Harvard-Educated Sleep Doctor Slept Well In Brookline Home He Bought Defrauding Patients: Feds A federal grand jury indicted a Brookline sleep doctor this week on charges that he ran multiple frauds and laundered hundreds of thousands of dollars to help him purchase a $1.6 million home in the toney town.   Dr. Pankaj Merchia, 49, faces three counts of money laundering and one count of health care fraud stemming from the alleged schemes, the US Attorney's Office said.  The indictment lays out the two alleged frauds. In one, Merchia continued to bill patients' insurance companies for monthly rentals of CPAP and BiPap machines — breathing devices used to treat sleep …
Huntington Chiropractor Admits To $1 Million Health Care Fraud Huntington Chiropractor Admits To $1 Million Health Care Fraud
Huntington Chiropractor Admits To $1 Million Health Care Fraud A New York chiropractor has admitted to fraudulently obtaining nearly $1 million in insurance payouts for services that were never provided. Long Island resident Peter Adamczack, age 65, of Huntington, pleaded guilty to health care fraud Monday, Aug. 15, in federal court in Central Islip. Prosecutors said Adamczack, a licensed chiropractor in East Meadow, submitted over $1 million in fraudulent acupuncture claims to a private insurance company between 2016 and 2020. Adamczack was not licensed to perform acupuncture, but claimed that the services were provided by an unaffiliated acupuncturi…
2 PA Nursing Facilities Falsified Records In 2 Conspiracy Schemes: USDOJ Indictment 2 PA Nursing Facilities Falsified Records In 2 Conspiracy Schemes: USDOJ Indictment
2 PA Nursing Facilities Falsified Records In 2 Conspiracy Schemes: Usdoj Indictment Five individuals and two for-profit nursing facilities in Pennsylvania have been indicted by a federal grand jury in Pittsburgh in connection to two conspiracy schemes, authorities say.  Brighton Rehab and Mount Lebanon Rehabilitation and Wellness Center, along with the following people were indicted on 15 counts, US Attorney Cindy Chung and Pennsylvania Attorney General Josh Shapiro announced on Tuesday, August 9: Sam Halper, 39, of Miami Beach, Florida. Eva Hamilton, 35, of Beaver. Susan Gilbert, 61, of Lawrence. Michelle Romeo, 46, of Hillsville. Johnna Haller, 41, of Monaca. The I…
Woman From Stratford Admits Committing Fraud While Awaiting Sentencing In Other Case Woman From Stratford Admits Committing Fraud While Awaiting Sentencing In Other Case
Woman From Stratford Admits Committing Fraud While Awaiting Sentencing In Other Case A 32-year-old former Farifield County resident pleaded guilty to a health care fraud offense that she committed while waiting to be sentenced for a separate health care fraud charge. Nicole Steiner, a former Stratford resident, pleaded guilty to the charge on Friday, July 29, according to Vanessa Roberts Avery, United States attorney for the District of Connecticut. Steiner, who is now a resident of Edison, New Jersey, previously pleaded guilty to one count of health care fraud on April 28, in relation to the operation of Helping Hands Academy, LLC in Bridgeport, which offered app…
Popular CT Eye Doctor Admits To Taking Kickbacks For Bogus Brain Scan Orders Popular CT Eye Doctor Admits To Taking Kickbacks For Bogus Brain Scan Orders
Popular CT Eye Doctor Admits To Taking Kickbacks For Bogus Brain Scan Orders A well-known Connecticut eye doctor admitted in Boston federal court to receiving kickbacks and racking up millions in bogus insurance and Medicare bills by ordering unnecessary brain scans, officials said. A licensed medical doctor in the State of Connecticut for 36 years, Donald Salzberg owned and operated Donald J. Salzberg, M.D., on Farmington Avenue in West Hartford, CT. Salzberg, who lives in Avon, conspired with a principal for a medical diagnostics company to order hundreds of transcranial doppler (TCD) scans in exchange for money between 2014 and 2019, …
Theft Of $8.2M In HIV Meds From NJ Vets Hospital Gets Rx Tech 2½ Years Without Parole Theft Of $8.2M In HIV Meds From NJ Vets Hospital Gets Rx Tech 2½ Years Without Parole
Theft Of $8.2M In HIV Meds From NJ Vets Hospital Gets Rx Tech 2½ Years Without Parole UPDATE: A former pharmacy tech was sentenced to a plea-bargained 57 months in federal prison Thursday for stealing $8.2 million worth of HIV medications from a New Jersey veterans hospital to sell on the black market, authorities said. Lisa M. Hoffman, 50, of Orange, will have to serve just about all of the term because there’s no parole in the federal prison system. U.S. District Court Judge Esther Salas also sentenced Hoffman on Thursday to three years of supervised release while ordering her to pay the full $8.29 million in restitution – and to forfeit an additional $450,000. Hoffman wa…
Stratford Woman Awaiting Sentencing In Fraud Case Arrested For Same Offense Stratford Woman Awaiting Sentencing In Fraud Case Arrested For Same Offense
Stratford Woman Awaiting Sentencing In Fraud Case Arrested For Same Offense A Fairfield County woman who pleaded guilty to health care fraud was arrested and accused of committing the same offense while released on bond. Nicole Steiner, age 32, of Stratford, was arrested on Monday, May 2, and charged with committing health care fraud, according to Leonard Boyle, United States Attorney for the District of Connecticut. Steiner had pleaded guilty on April 28, 2021, in a separate health care fraud case, Boyle said.  Following her arrest on Monday, she was released into home detention under electronic monitoring on a $250,000 bond, according to the announceme…
Feds: Postal Supervisor In NJ Sold 400 Vax Cards That She Printed At Work Feds: Postal Supervisor In NJ Sold 400 Vax Cards That She Printed At Work
Feds: Postal Supervisor In NJ Sold 400 Vax Cards That She Printed At Work A U.S. Postal Service supervisor from New Jersey openly sold 400 bogus COVID vaccine cards that she printed at her job -- while claiming that a graphic design degree was "paying off" for her, federal authorities charged. Lisa Hammell, 39, of the South Jersey town of Turnersville, sold the cards for from $20 to $100 after advertising them on social media, an indictment returned by a grand jury in U.S. District Court in Newark says. Two of the buyers were from New Jersey and another was a federal employee in Virginia whose mother needed the card because she worked in a hospital and had to be …
Roslyn Doctor Charged For $1.3 Million Fraud Scheme Roslyn Doctor Charged For $1.3 Million Fraud Scheme
Roslyn Doctor Charged For $1.3 Million Fraud Scheme A New York doctor is accused of defrauding Medicare and Medicaid of over $1.3 million. Federal prosecutors allege that Dr. Perry Frankel, age 64, of Roslyn, in Nassau County, submitted false billing claims to Medicare and Medicaid for office visits that were never performed for patients who received COVID-19 tests. The tests were done at mobile sites across Long Island through Frankel’s cardiology clinic, Advanced Cardiovascular Diagnostics PLLC, located in Great Neck. Frankel was not even in New York when some of the alleged office visits occurred, prosecutors said. “As alleged, exploiti…
Hartford County Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme Hartford County Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme
Hartford County Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme A former licensed professional counselor was sentenced for operating a scheme to defraud the Connecticut Medicaid Program of more than $1.3 million. Hartford County resident Cortney Dunlap, age 37, of Burlington, was sentenced on Friday, March 11, to 57 months in prison followed by three years of supervised release, according to Leonard Boyle, United States Attorney for the District of Connecticut. Dunlap was also ordered to pay restitution to Medicaid of $1,313,322, Boyle said. He pleaded guilty to one count of health care fraud on June 4, the US Attorney's Office reported. From 201…
Suffolk Man Ordered To Pay  $1M In Restitution For Fraud Scheme Suffolk Man Ordered To Pay  $1M In Restitution For Fraud Scheme
Suffolk Man Ordered To Pay $1M In Restitution For Fraud Scheme A Turkish national has been sentenced and ordered to pay more than a million dollars for his role in orchestrating an elaborate “birth tourism” health care fraud scheme on Long Island, federal authorities announced. East Patchogue resident Ibrahim Aksakal was sentenced at First District Court in Central Islip on Tuesday, March 8 to 27 months in prison for conspiring to commit health care and wire fraud in connection scheme that Aksakal operated in Suffolk County between 2017 and 2020. Prosecutors said that the scheme involved pregnant Turkish women fraudulently entering the country and usin…
GUILTY: Fort Lee Doc With Clifton Practice Convicted Of Multi-Million-Dollar Medicare Fraud GUILTY: Fort Lee Doc With Clifton Practice Convicted Of Multi-Million-Dollar Medicare Fraud
Guilty: Fort Lee Doc With Clifton Practice Convicted Of Multi-Million-Dollar Medicare Fraud A rheumatologist from Fort Lee was convicted of billing Medicare and other health insurance programs for nearly a decade for services that patients never got and expensive medication that her Clifton practice never bought, federal authorities said. Alice Chu, 64, went to trial in U.S. District Court in Newark after federal authorities accused her of submitting more than $8.8 million in bogus claims for "items and services that were medically unnecessary, ineligible for reimbursement, and/or not provided as represented," court papers show. Jurors found her guilty on Tuesday, March 8 of consp…
Man Sentenced In Suffolk County 'Birth Tourism' Health Care Fraud Scheme Man Sentenced In Suffolk County 'Birth Tourism' Health Care Fraud Scheme
Man Sentenced In Suffolk County 'Birth Tourism' Health Care Fraud Scheme A 50-year-old man has been sentenced on charges related to a "birth tourism" health care fraud scheme he operated on Long Island. Ibrahim Aksakal, a Turkish national, was sentenced on Tuesday, March 8, to 27 months in prison for conspiring to commit health care and wire fraud, according to an announcement from Breon Peace, United States attorney for the Eastern District of New York. Aksakal was also ordered to pay restitution of $1,039,723.63, and forfeiture in the amount of $397,500, according to the announcement. Between 2017 and 2020, Aksakal operated a scheme in Suffolk Count…
New Details: Nassau Doctor Admits To Million-Dollar Medicare Scheme New Details: Nassau Doctor Admits To Million-Dollar Medicare Scheme
New Details: Nassau Doctor Admits To Million-Dollar Medicare Scheme A doctor on Long Island admitted to scheming to bilk Medicare out of more than a million dollars as part of an elaborate fraud scheme, federal authorities announced. Morris Barnard, age 58, of Great Neck, pleaded guilty on Monday, March 7 to health care fraud in connection with the scam to bill Medicare for medical procedures that were never actually performed. US Attorney Breon Peace said that beginning in October 2015 through February 2020, Barnard submitted more than $3 million in billings to Medicare for colonoscopy and gastroenterological procedures that were never done.  Earli…
Doctor From Great Neck Admits To Multi-Million Dollar Fraud Scheme Doctor From Great Neck Admits To Multi-Million Dollar Fraud Scheme
Doctor From Great Neck Admits To Multi-Million Dollar Fraud Scheme A Long Island doctor has admitted to sending Medicare bills for millions of dollars for procedures that were never performed. Morris Barnard, age 58, of Great Neck, pleaded guilty on Monday, March 7, to health care fraud, according to Breon Peace, United States attorney for the Eastern District of New York. “With today’s guilty plea, Dr. Barnard admits to committing a multi-million dollar fraud on the Medicare program by billing for procedures he did not perform,” Peace said. “By claiming to render services to disabled and other vulnerable patients, Dr. Barnard not only pocketed taxp…
CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say
CT Business Owner Ordered To Pay $310K For Employing 'Excluded' Person, Feds Say A Connecticut psychiatry business and its owner have been ordered to pay more than $310,000 to resolve allegations that they improperly employed an individual who was excluded from federal health care programs. Geriatric & Adult Psychiatry, LLC and its owner Dr. Alan Siegal entered into the civil settlement agreement with federal and state governments, according to an announcement on Wednesday, Feb. 23, from Leonard Boyle, United States Attorney for the District of Connecticut. The Hamden business and Siegal were ordered to pay a total of $310,874, the US Attorney's Office announce…
Ex-Physician Indicted For Illegally Prescribing Opioid Pills In South Jersey: Prosecutor Ex-Physician Indicted For Illegally Prescribing Opioid Pills In South Jersey: Prosecutor
Ex-Physician Indicted For Illegally Prescribing Opioid Pills In South Jersey: Prosecutor A former physician from South Jersey has been indicted for illegally prescribing highly-addictive opioid pills, authorities said. Morris “Moishe” Starkman, 62, of Yellowstone Road in Cinnaminson, has been indicted on 21 counts of narcotics distribution and fraud charges for the alleged activity out of his Bordentown Township practice, according to Burlington County Prosecutor Scott Coffina. Starkman simultaneously engaged in an unlawful medical billing scheme over a three-year period, Coffina alleged. Starkman was indicted by a grand jury on 15 counts of distribution of a controlled d…
Ex-Employee Admits Stealing $10M Worth Of HIV Meds From NJ Veterans Hospital Ex-Employee Admits Stealing $10M Worth Of HIV Meds From NJ Veterans Hospital
Ex-Employee Admits Stealing $10M Worth Of HIV Meds From NJ Veterans Hospital A former pharmacy tech admitted stealing nearly $10 million worth of HIV medications from a New Jersey veterans hospital and selling them to a fence from Lyndhurst. Lisa M. Hoffman, 49, of Orange, used her authority to order excessive amounts of medication for the outpatient pharmacy from the Veterans Affairs Medical Center (VAMC) in East Orange, Acting U.S. Attorney Rachael A. Honig said. Surveillance cameras helped show how she “placed large orders for HIV medication, purportedly on behalf of the VAMC,” the U.S. attorney said. “After the medications arrived, Hoffman waited until co-worke…
Worker Accused Of Defrauding Hudson Valley Town Out Of Thousands Of Dollars Worker Accused Of Defrauding Hudson Valley Town Out Of Thousands Of Dollars
Worker Accused Of Defrauding Hudson Valley Town Out Of Thousands Of Dollars A former employee of a Hudson Valley town was arrested and accused of defrauding the town of more than $14,000 in health care buyout payments he wasn't entitled to. Kyle Fletcher, a former heavy equipment operator who worked for the Ulster County Town of Gardiner, was arraigned on Tuesday, Oct. 5, according to an announcement from New York State Comptroller Thomas DiNapoli. “Mr. Fletcher allegedly deceived the Town to pocket over $14,000 in public funds," DiNapoli said. “Thanks to my office’s partnership with the New York State Police and Ulster County District Attorney Clegg he is bei…
HOOP SCHEMES: Onetime Phenom, Ex-NJ Net Among 18 Charged By Feds With $4M NBA Health Care Fraud HOOP SCHEMES: Onetime Phenom, Ex-NJ Net Among 18 Charged By Feds With $4M NBA Health Care Fraud
Hoop Schemes: Onetime Phenom, Ex-NJ Net Among 18 Charged By Feds With $4M NBA Health Care Fraud Disgraced onetime phenom Sebastian Telfair and more than a dozen other NBA veterans are charged with scamming the league's health plan out of millions of dollars, federal authorities announced Thursday. Darius Miles and Glen Davis are also among the 18 defendants named in an indictment returned by a grand jury in Manhattan that alleges they filed nearly $4 million in fake medical and dental claims to the NBA’s Health and Welfare Benefit Plan for active and retired players. Former New Jersey Nets shooting guard Terrence Williams ran the scam, supplying letters that justified medical services…