Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud
Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud A pair of Hudson Valley brothers were among four charged in federal court for their roles in an extensive, multi-million dollar scheme to defraud Medicare and health insurance providers through false billing. Middletown residents James Spina, 59, and Jeffery Spina, 56, participated “in a widespread health care fraud scheme through their fraudulent operation of Dolson Avenue Medical, a multi-disciplinary medical clinic located in (Orange County).” From 2011 through September last year, Dolson Avenue Medical was a registered medical service that “purported to provide a variety of pain managem…
Norwalk Doctor Admits To Painkiller Drug Distribution, Health Care Fraud Norwalk Doctor Admits To Painkiller Drug Distribution, Health Care Fraud
Norwalk Doctor Admits To Painkiller Drug Distribution, Health Care Fraud A 71-year-old doctor from Connecticut pleaded guilty on Monday, June 25 to federal narcotics distribution and health care fraud charges. Bharat Patel of Milford entered his plea in U.S. District Court in New Haven, according to John H. Durham, U.S. Attorney for the District of Connecticut, and Brian D. Boyle, Special Agent in Charge of the Drug Enforcement Administration (DEA) for New England. In pleading guilty, Patel admitted that he wrote hundreds of medically unnecessary prescriptions for oxycodone and hydrocodone, and received nearly $159,000 as a result, according to Durham. Accordin…
Hudson Valley Doctor, Wife Fined Over Questionable Cancer Drug Hudson Valley Doctor, Wife Fined Over Questionable Cancer Drug
Hudson Valley Doctor, Wife Fined Over Questionable Cancer Drug A Poughkeepsie doctor and his wife have been ordered to pay fines for delivering misbranded cancer-fighting drugs, according to the United States Department of Justice. Oncologist Vincent Koh, 73, and his wife and office manager Milly Koh, 64, drew fines of $7,500 and $3,000, for receiving and delivering misbranded drugs, after pleading guilty in November, the Justice Department said. From July 2010 through March 2012, the Kohs ordered various discount oncology drugs from foreign sources that Vincent Koh prescribed and administered to patients. The drugs had not been approved by the Food an…
CT Psychiatrist, Mental Health Clinic Pay $800K Settlement CT Psychiatrist, Mental Health Clinic Pay $800K Settlement
CT Psychiatrist, Mental Health Clinic Pay $800K Settlement A Connecticut psychiatrist and mental health clinic are set to pay more than $800,000 to resolve claims that they allegedly violated federal and state False Claims Acts regarding urine sample tests. United States Attorney John Durham announced that psychiatrist Erum Shahab and Waire, LLC, which did business as Ellington Behavioral Health, have reached an agreement to pay $805,071 for submitting unsubstantiated claims to Medicare. According to officials, Ellington Behavioral Health regularly conducted urine drug screenings of patients with substance use disorders at the practice. Urine drug …
Norwalk Medical Practice Will Pay $650K To Settle False Claims Norwalk Medical Practice Will Pay $650K To Settle False Claims
Norwalk Medical Practice Will Pay $650K To Settle False Claims Physicians from a Norwalk medical practice specializing in the treatment of sexually transmitted diseases have agreed to pay more than $650,000 in fines for allegedly attempting to make false Medicare and Medicaid claims. John Durham, the United States Attorney for the District of Connecticut, announced that World Health Clinicians, its CEO Scott Gretz and a former practicing physician, Gary Blick, have entered into a civil settlement agreement with federal and state governments to pay $650,830 to resolve allegations that they violated federal and state false claims acts. According to Durha…
St. John's Riverside Hospital In Westchester Seeks Partnership St. John's Riverside Hospital In Westchester Seeks Partnership
St. John's Riverside Hospital In Westchester Seeks Partnership St. John’s Riverside Hospital in Yonkers, announced on Wednesday, March 28, that it has issued a Request For Proposals to major healthcare systems to explore a future partnership arrangement.  It's one of last two remaining independent hospitals in Westchester County. The RFP process is expected to take 18 to 24 months “The changing healthcare landscape mandates that we reconsider our current business model in order to continue to serve the community with state-of-the-art care and remain as an important and valued economic contributor to our local community," said Ron Corti, the hospit…
Franklin Lakes Doctor Gets 18 Months In Fed Pen For Test Company Bribes Franklin Lakes Doctor Gets 18 Months In Fed Pen For Test Company Bribes
Franklin Lakes Doctor Gets 18 Months In Fed Pen For Test Company Bribes FRANKLIN LAKES, N.J. -- A physician from Franklin Lakes was sentenced to a plea-bargained 18 months in federal prison Wednesday for his role in a massive test-referral bribery scheme. Basel Batarseh, 57, will have to serve the entire term: There is no parole in the federal prison system. Batarseh, who had an internal medicine practice in West New York, previously admitted that he took more than $104,000 in payoffs from employees and associates of Biodiagnostic Laboratory Services LLC (BLS) of Parsippany between November 2007 and August 2010. In exchange, Batarseh said, he generated more t…
3 Years For Passaic County Podiatrist Who Scammed Insurers Out Of $3M 3 Years For Passaic County Podiatrist Who Scammed Insurers Out Of $3M
3 Years For Passaic County Podiatrist Who Scammed Insurers Out Of $3M PASSAIC COUNTY, N.J. -- A North Haledon podiatrist who had offices in Passaic and Paterson got three years in federal prison Monday for conning Medicare and private insurers out of $3 million for more than 150,000 physical therapy sessions conducted by unlicensed and unqualified employees. Because there's no parole in the federal prison system, Anthony J. Enrico, 60, will have to serve nearly all of the sentence. Enrico told a U.S. District Court judge in Newark last October that he billed for more than 150,000 physical therapy sessions that were conducted by unlicensed and unqualified pers…
Eastchester Police Warn Of Medicare Scam Targeting Elderly Eastchester Police Warn Of Medicare Scam Targeting Elderly
Eastchester Police Warn Of Medicare Scam Targeting Elderly Police are cautioning residents to be aware of fraudsters attempting to scam them as part of a Medicare scheme that has made the rounds throughout Westchester County. The Eastchester Police Department issued an alert this week regarding the scam, which includes a caller stating they are from Medicare, claiming that the homeowner is entitled to knee braces through the insurance program. Police said that the caller will ask for the last four digits of the homeowner’s social security number and other identifying information. Investigators said that the scammers have been largely targeting the …