Humana Medicare Advantage plan overcharged Medicare nearly $200 million, HHS inspector general finds suntimes.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from suntimes.com Daily Mail and Mail on Sunday newspapers.
To embed, copy and paste the code into your website or blog:
The U.S. Department of Justice (DOJ) announced on April 13 that James Spina, a licensed chiropractor and the unlawful operator of Dolson Avenue Medical, P.C. (DAM), was sentenced to nine years in prison and three years of post-release supervision. DAM, a multi-disciplinary medical practice in Middletown, New York, purported to provide a variety of pain management and rehabilitation services.
According to the indictment, Spina defrauded Medicare and other insurance providers through DAM and eight other corporations that operated out of the same address. Although the associated entities were purportedly separately owned by licensed individuals, in reality, Spina and a co-defendant were the true owners and operators of all of the corporations.
Colorado Physician Charged for Misappropriating Thousands from Three Different COVID Relief Programs Published: 09 April 2021 09 April 2021
Denver, Colorado - An indictment was unsealed Wednesday in Denver charging a Colorado man with stealing nearly $300,000 in government funds from three different COVID relief programs and with making false statements in connection with bankruptcy proceedings.
According to court documents, Francis F. Joseph, 56, of Highlands Ranch, allegedly transferred approximately $118,000 in COVID relief funding from a medical clinic’s account into his personal bank account, after which he spent the money on, among other things, travel and home improvements. The stolen funds came from two programs that were designed to aid medical providers during the COVID-19 pandemic the Accelerated and Advance Payment Program and the Provider Relief Fund.
West Bloomfield native sentenced to 15 years for administering 6.6 million doses of opioids
Copyright 2021 by Getty Images
Getty Images
and last updated 2021-03-03 15:23:46-05
WASHINGTON â Mashiyat Rashid, 40, of West Bloomfield, Michigan, the fromer CEO of the Tri-County Wellness Group of medical providers in Michigan and Ohio was sentenced to 15 years in prison.
Accompanying the prison sentence is an order to pay over $51 million in restitution to Medicare in addition to forfeiting traceable proceeds of the health care fraud scheme to the United States (over $11.5 million, commercial real estate, residential real estate, and a Detroit Pistons season ticket membership.
Rashid pleaded guilty in 2018 to one count of conspiracy to commit health care fraud and wire fraud, and one count of money laundering. Twenty-one other defendants, including 12 physicians, have also been, including four physicians who were convicted after a one-month trial in 2020.
The chief executive officer of a Michigan and Ohio-based group of pain clinics and other medical providers was sentenced today to 15 years in prison for developing and approving a corporate policy to administer unnecessary back injections to patients in exchange for prescriptions of over 6.6 million doses of medically unnecessary opioids.
Mashiyat Rashid of West Bloomfield, Michigan, was the CEO of the Tri-County Wellness Group of medical providers in Michigan and Ohio. In addition to the prison sentence, Rashid was also ordered to pay over $51 million in restitution to Medicare, as well as forfeiture to the United States of property traceable to proceeds of the health care fraud scheme, including over $11.5 million, commercial real estate, residential real estate, and a Detroit Pistons season ticket membership.