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Detroit-Area Clinic Owners Plead Guilty to Infusion Therapy Medicare Fraud Scheme

Raymond and Emelitza Arias, owners and operators of two clinics purportedly specializing in treatment of HIV and other conditions, have pleaded guilty to conspiracy to commit healthcare fraud, according to the Justice Department. The Medicare fraud scheme involved false claims for infusion therapy services through the two clinics: Carefirst Occupational & Rehabilitation Center Inc. and...

Whistleblower Complaints Lead to New Medicaid Fraud Investigation Against CVS

Recent whistleblower complaints reveal that Rhode Island-based CVS Caremark may have violated the terms of an $80 million settlement resolving allegations that the pharmacy chain engaged in a Medicaid fraud scheme. The pharmacy chain is accused of overbilling Medicaid, changing patients’ permissions without authorization, and even using blow dryers to remove mailing labels and resell...

Alabama Mail Carrier Indicted for Role in Tax Fraud Conspiracy

Alabama resident Vernon Harrison has been indicted for conspiring to file false income tax claims, mail fraud, aggravated identity theft and embezzlement from the mail. According to the Justice Department, Mr. Harrison used his position as a U.S. Postal Service mail carrier to obtain debit cards that were sent to addressees on his Montgomery postal route.

Postal Worker Stole Debit...

Detroit Federal Jury Convicts Three in $14.5 Million Medicare Fraud Scheme

A Detroit-area physician, the owner of a home health agency, and a patient recruiter have been convicted by a federal jury for participating in a $14.5 million scheme to defraud Medicare, according to the Justice Department. Dr. Pramod Raval was found guilty of conspiracy to commit healthcare fraud and conspiracy to solicit or receive healthcare kickbacks for referring patients to two Detroit...

United States Intervenes in Whistleblower Fraud Case Against Fluor Companies

The Justice Department has intervened in a whistleblower lawsuit against Texas-based Fluor Corp. and its subsidiary Fluor Hanford Inc. Fluor Hanford, Inc. provides various services to the government and to private customers. Whistleblower Loydene Rambo, a former Fluor employee, originally filed the False Claims Act lawsuit alleging that Fluor had committed fraud by failing to comply with the...

Pharmaceutical Company to Pay $95 Million to Settle False Claims Act Allegations

Connecticut-based Boehringer Ingelheim Pharmaceuticals Inc. will pay $95 million to resolve allegations by the Justice Department that the company engaged in the improper promotion of certain medications: Aggrenox, Atrovent, Combivent, and Micardis. The False Claims Act lawsuit against Boehringer was originally filed by a whistleblower, a former Boehringer sales representative. As part of...

Co-Conspirators in Brooklyn Clinic Medicare Fraud Scheme Continue to Plead Guilty

A huge percentage of whistleblower cases filed under the federal False Claims Act involve some sort of Medicare fraud. In a $71 million Medicare fraud scheme in Brooklyn, New York, the Justice Department has criminally charged 16 individuals, 11 of whom have pleaded guilty to the conspiracy. The defendants include two physicians, nine individuals who either owned, operated or worked at the...

Florida Man Indicted by Grand Jury for Filing False Tax Claims

In Fort Lauderdale, Florida, a federal grand jury has returned an indictment against Paul F. Wrubleski for filing false tax claims seeking more than $1.5 million in federal refunds. The Justice Department has charged Wrubleski with corruption in four counts of filing false claims for federal tax refunds.

The indictment charges that Wrubleski impeded the Internal Revenue Service by...

Kentucky Defense Contractors Settle False Claims Allegations for $6.25 Million

Fraud in military contracting costs the American taxpayers millions of dollars each year. The Justice Department has reached a settlement in a recent instance of fraudulent procurement involving services provided to the U.S. Army in Fort Knox, Kentucky.

Lusk Mechanical Contractors and Commonwealth Technologies, along with the companies’ owners, Harry Lusk and Wendell Goodman, will...

Healthpoint Ltd. Agrees to Settle False Claims Act Lawsuit Involving Unapproved Prescription Drug

Drug makers engage in Medicaid and Medicare fraud when they market unapproved drugs that have not been subjected to the FDA’s regulatory process. Such conduct places consumers at risk. Whistleblowers work with the government to end health care fraud and protect American consumers.

Healthpoint Ltd. and DFB Pharmaceuticals, defendants in a recent False Claims Act suit, have agreed to...

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