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Miami Resident Arrested for Illegal Sale of Cancer Medication

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“TALLAHASSEE - Attorney General Charlie Crist today announced the arrest of a South Florida resident on three charges related to his alleged involvement in an interstate prescription drug operation with purchases totaling more than $100,000. Dennys Astorga, 31, of Miami, is accused of facilitating the sale of prescription drugs with fake pedigrees, including medication intended for cancer patients. Without a valid pedigree, which guarantees that a drug is authentic and has been properly stored, a drug cannot be legally sold in Florida. According to the arrest affidavit, Astorga allegedly facilitated transactions between a Texas prescription drug wholesaling operation using the name of San Antonio Health Group, and Florida-based drug distributor AMERx.

Pete and Lesa Hames - Alternate Nursing Care in Irving, Texas

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“United States Attorney Richard B. Roper announced that Dallas residents, Robbie Lesa Hames, Charles William (Pete) Hames and James Michael Davis, were sentenced late yesterday by the Honorable Jorge A. Solis, United States District Judge. Following a three-week trial in March, a federal jury in Dallas convicted the three defendants on all counts of a 17-count indictment that charged each of them with various offenses related to their conspiracy to defraud Medicare. The Hames owned a home health care nursing business called Alternate Nursing Care in Irving, Texas. Davis owned Accelerated Home

Serono Executive Charged with Offering Kickbacks

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” Boston, MA… A Hewlit, New York man was charged today in federal court with offering kickbacks to three New York City doctors by offering them an all expenses paid trip to attend a medical conference in Cannes, France in April of 1999, in return for writing prescriptions of Serostim, a brand of recombinant human growth hormone used to treat wasting in AIDS patients, manufactured and sold by Serono Laboratories, Inc., now known as Serono, Inc., a subsidiary of Ares-Serono, S.A. United States Attorney Michael J. Sullivan; Peter D. Keisler, Assistant Attorney General of the U.S. Department of Justice’s Civil Division; Kenneth W.

New Jersey Charges MD With Billing for Unnecessary Tests

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” TRENTON - Attorney General Peter C. Harvey announced that two Essex County physicians have been charged by the Division of Criminal Justice - Office of Insurance Fraud Prosecutor with performing unwarranted medical tests and procedures on patients in order to increase insurance reimbursements and, therefore, increase personal profits. According to Vaughn L. McKoy, Director, Division of Criminal Justice and Insurance Fraud Prosecutor Greta Gooden-Brown, a five-count State Grand Jury indictment charged Dr. William M. Burke, 67, Village Road, New Vernon, Morris County, and Dr. Denis S. Schis

New Jersey Woman Charged with Medicaid Transportation Fraud

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” TRENTON - Division of Criminal Justice Director Vaughn L. McKoy announced that the Division of Criminal Justice - Office of Insurance Fraud Prosecutor has obtained a State Grand Jury indictment charging an Essex County woman with Health Care Claims Fraud and Medicaid Fraud for submitting more than $54,480 in fraudulent bills to the Medicaid Program as part of a patient transportation scam. According to Insurance Fraud Prosecutor Greta Gooden-Brown, Mary Villone, 47, Center Street, Nutley, Essex County, was charged in a State Grand Jury indictment with Health Care Claims Fraud (2nd degree) and Medicaid Fraud (3rd degree).

Gambro Healthcare $350 Million Fine

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“ST. LOUIS, MISSOURI - Gambro Healthcare will pay more than $350 million in criminal fines and civil penalties to settle allegations of healthcare fraud in the Medicare, Medicaid and TRICARE programs, United States Attorney for the Eastern District of Missouri, James G. Martin; Special Agent in Charge of the St. Louis Office of the Federal Bureau of Investigation, Thomas E. Bush; Special Agent in Charge of the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG)-Office of Investigations- Kansas City Regional Office Gary M. Holst; and Assistant Attorney General Peter Keisler announced today.

Bullhead City Pharmacist Indicted for Redirecting Prescription Drugs for Personal Use

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(Phoenix, Ariz.) A Bullhead City pharmacist pled not guilty in Mohave County Superior Court to charges of fraud for allegedly diverting prescription drugs and fraudulently billing insurance companies.

The State Grand Jury recently indicted Howard Jones of Bullhead City on charges of Fraudulent Schemes and Artifices, Theft and Acquisition of a Narcotic Drug. Jones’ next court date is scheduled for December 6 at 10 a.m. in Mohave County Superior Court.

Tennessee Bureau of Investigations Wins NHCAA Award

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Nashville, TN- The TBI’s Medicaid Fraud Control Unit has won an “Investigation of the Year” award for its work on a case involving an orthopedic surgeon from Tullahoma. Last fall, Dr. Robert Canon was convicted of 95 counts of health care fraud after billing the state and others for more than $2.2 million dollars worth of fraudulent services. Canon was eventually sentenced to 41 months in federal prison and ordered to repay TennCare more than $1.8 million dollars in restitution. Today, the National Health Care Anti-Fraud Association is recognizing Assistant Special Agent in Charge, Norman Tidwell’s hard work with an annual award presented to the nation’s number one investigation.

Connecticut Ambulance Company Pleads Guilty

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“Kevin J. O’Connor, United States Attorney for the District of Connecticut, today announced that PROFESSIONAL AMBULANCE SERVICE OF NORWICH, INC., also known as P.A.S.O.N., whose business offices are located at One American Way, Norwich, Connecticut, has pleaded guilty to a charge of federal health care fraud. PROFESSIONAL AMBULANCE’s plea of guilty was accepted this afternoon by Senior U.S. District Judge Peter C. Dorsey in New Haven federal court. PROFESSIONAL AMBULANCE has also entered into a civil settlement agreement with the United States and the State of Connecticut to resolve its civil liability for allegedly submitting false claims to the Medicare, Medicaid and TRICARE Programs.

Medi-Cal Crime Ring Punishment - 63 years

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“(SANTA ANA) – Attorney General Bill Lockyer today announced a co-defendant in one of the state’s largest Medi-Cal fraud cases was sentenced to eight years in prison by Orange County Superior Court Judge Kazuhiru Makino. Ron Martin, 46, of New York, also was ordered to pay $2.5 million to the California Medi-Cal program and $17,212 to the California Franchise Tax Board. “My office will continue to aggressively prosecute those who cheat the system that 6.8 million Californians depend on as their only source of critical health care,” Lockyer said. With Martin’s sentencing, the Attorney G
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