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Tag Archives: Office of Inspector General

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 Medicare for enteral feeding services ... 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 count of conspiracy to commit ... 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 harvesting” related to an $18 ... Read More »

        Friendship Volunteer Fire Department Not So Friendly After Deputy Chief Embezzles Federal Funds

        When I hear the mention of Alabama’s Friendship Volunteer Fire Department (FVFD) my mind immediately jumps to the thought of a sweet, small, benevolent, rural community; and not necessarily to fraud and theft. ::Sigh:: Thank you cruel world for shattering my optimistic thoughts, yet again. It was announced last week that the Deputy Chief, Angelia Curran, of the Friendship Volunteer ... 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 a drug used to treat ... Read More »

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