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What We Learned about Federal Telehealth Programs during the First Year of the Pandemic
Recognizing how critical telehealth has been to the federal COVID-19 response, the PRAC Health Care Subgroup—which includes six federal Offices of Inspectors General—worked together to provide insights on the use of telehealth and its associated program integrity risks. Read the full report here.
PRAC Reports on the Use and Integrity of Federal Telehealth Programs During the Pandemic
The Pandemic Response Accountability Committee (PRAC) released Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic, a report assessing telehealth utilization and fraud, waste, and abuse risks across six federal agencies during the first year of the pandemic.
Silicon Valley Executive Sentenced for Defrauding Investors and Participating in COVID-19 and Allergy Testing Scheme
The president of a Silicon Valley-based medical technology company was sentenced today to eight years in prison and ordered to pay $24 million in restitution for participating in a scheme to defraud investors and a scheme to commit health care fraud and pay illegal kickbacks in connection with the submission of over $77 million in claims for COVID-19 and allergy testing.
Medical Technology Company President Convicted in $77 Million COVID-19 and Allergy Testing Scheme
A federal jury convicted the president of a Silicon Valley-based medical technology company today of participating in a scheme to mislead investors, commit health care fraud, and pay illegal kickbacks in connection with the submission of over $77 million in false and fraudulent claims for COVID-19 and allergy testing.
Maryland Doctor Facing Federal Indictment for COVID-19 Healthcare Fraud Scheme is Part of a Nationwide Coordinated Law Enforcement Action to Combat Health Care Related COVID-19 Fraud Announced by the Justice Department Today
A federal grand jury in Maryland has indicted Ron Elfenbein, M.D., age 47, of Arnold, Maryland, for three counts of healthcare fraud for submitting false and fraudulent claims to Medicare and other insurers for patients who received COVID-19 tests at sites operated by the defendant. The indictment was returned yesterday.
Physician Partners of America to Pay $24.5 Million to Settle Allegations of Unnecessary Testing, Improper Remuneration to Physicians and a False Statement in Connection with COVID-19 Relief Funds
Physician Partners of America LLC (PPOA), headquartered in Tampa, Florida, its founder, Rodolfo Gari, and its former chief medical officer, Dr. Abraham Rivera, have agreed to pay $24.5 million to resolve allegations that they violated the False Claims Act by billing federal healthcare programs for unnecessary medical testing and services, paying unlawful remuneration to its physician employees and making a false statement in connection with a loan obtained through the Small Business Administration’s (SBA) Paycheck Protection Program (PPP).
Maryland U.S. Attorney’s Office Continues to Fight Fraud Related to the Covid-19 Pandemic
Today Maryland United States Attorney Erek L. Barron announced that the U.S. Attorney’s Office for the District of Maryland has entered into a memorandums of understanding (MOUs) with Special Inspector General Brian D. Miller of the Special Inspector General for Pandemic Recovery (SIGPR) and Deputy Inspector General James D. Powell of the U.S. Department of Labor, Office of Inspector General (DOL-OIG), Office of Investigations, regarding the investigation and prosecution of fraud relating to The Coronavirus Aid, Relief, and Economic Security (CARES) Act funding. The CARES Act was designed to...