Don’t Be Surprised to Be Asked to Pay Up Before Getting Care in Emergency Room

Accretive Health, one of the largest collectors of delinquent medical debts has become a target of criticism and regulator attention recently. It is alleged that debt collectors, appearing to be hospital employees, have been confronting sick and injured patients, and demanding payment before treatment. The practice of embedding debt collectors in some hospitals came to … Read more

Vanguard Settles With $2 Million In False Claims Act

It was announced last week that the United States and the State of Tennessee will be receiving $2 million in a settlement of False Claims Act allegations from Vanguard and its wholly owned subsidiary, Vanguard Health Care Ancillary. The settlement resolves claims by the United States and the state of Tennessee that Vanguard wrongly billed … Read more

Until Fraud Do Us Part : Married Fraudsters Face Jail Time For Health Care Kickbacks

Married floridian fraudsters, Robert and Nikki Jenkins have each pleaded guilty to one count of conspiracy to solicit and receive health care kick backs after funneling patients through, American Therapeutic Corporation (ATC), a fraudulent mental health company. Then Jenkins’ managed and operated Life 4 Life Inc., which operated multiple halfway houses in Fort Lauderdale, Florida. … Read more

Two Of America’s “Most Wanted” Sentenced

Two of America’s “Most Wanted” health care fraud fugitives were sentenced in Florida last week. Two sisters, Caridad Guilarte and Clara Guilarte, owned a fraudulent medical clinic near Detroit that lead to a $9.1 million Medicare fraud scheme. Each of the sisters face 14 years in prison. In August the sisters plead guilty to one … Read more

135 Month Sentence For $45 Million Medicare Fraud

Houston, Texas doctor, Christina Joy Clardy, was sentenced to just over 11 years (135 months) in federal prison for a monumental health care fraud conspiracy the resulted in Medicare and Texas Medicaid programs to be billed $45,039,230 over a 30 month period. Clardy is the third defendant to be sentenced in this matter. Last week … Read more

Is It Prescription Harvesting Season Again? Sixteen Arrested In Conjunction With Operation “Psyched Out”

I love the names investigators attach to investigations. For example, last week 16 arrests in conduction with Operation “Psyched Out” were made. Operation “Psyched Out”! Love the name, not the act. Apparently sixteen people affiliated with the Manor Medical Imaging Clinic and pharmacies in and around the San Gabriel Valley in California participated in “prescription … Read more