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

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

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

Whistle Blower Is Rewarded For Uncovering Medicare Fraud

Dr. Steven Stern and his Kentuckiana Center for Better Bone and Joint Health (KCB) practice have agreed to pay $349,860 to settle an overfilling of Medicare allegation. Suzette Sewell-Scheuremann, a former employee of the Kentuckiana Center for Better Bone and Joint Health, alleged that Stern and his practice billed Medicare for infusing Infliximab which is … Read more