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What We Learned about Federal Telehealth Programs during the First Year of the Pandemic

Recognizing how critical telehealth has been to the federal COVID-19 response, the PRAC Health Care Subgroup—which includes six federal Offices of Inspectors General—worked together to provide insights on the use of telehealth and its associated program integrity risks. Read the full report here.

PRAC Reports on the Use and Integrity of Federal Telehealth Programs During the Pandemic

The Pandemic Response Accountability Committee (PRAC) released Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic, a report assessing telehealth utilization and fraud, waste, and abuse risks across six federal agencies during the first year of the pandemic.

Florida Man Pleads Guilty to Multi-Million Dollar Scheme to Defraud Medicare

Ocala, FL - A Florida man pleaded guilty on Monday to purchasing Medicare identification numbers and using those numbers to cause over $8.4 million of false and fraudulent claims to be submitted to Medicare.

Suburban Chicago Man Sentenced to More Than Five Years in Prison for $1.5 Million Covid-Relief Fraud

FEROZ JALAL participated in a scheme to defraud banks and the U.S. Small Business Administration.

Broward County Man Sentenced To Prison For Filing Thousands Of Fraudulent COVID-19 Testing Reimbursement Claims, And Ordered To Forfeit Over $5.6 Million And Properties

Tampa, FL – U.S. District Judge Mary S. Scriven today sentenced Willie F. Murray, Jr. (55, West Park) to five years and one month in federal prison for wire fraud and aggravated identity theft. The Court also ordered Murray to forfeit $5,671,611.74 in U.S. currency, $1,578,925.56 from a bank account, and six real properties located in Punta Gorda, Fort Lauderdale, Belle Glade, Hollywood, and South Bay, Florida, which are traceable to proceeds of the offense. Murray entered a guilty plea on September 20, 2024.

Chicago Lab Owner Pleads Guilty to $14 Million Covid-19 Fraud Scheme

ZISHAN ALVI caused claims to be submitted to the U.S. Department of Health and Human Services for Covid-19 tests that were not performed as billed.

Lab Owner Pleads Guilty to $14M COVID-19 Fraud Scheme

An Illinois man pleaded guilty today for his role in a COVID-19 testing fraud scheme.

Texas Businessman Accused of $1.9 Million COVID Test Kit Fraud

Rashid Naqvi has been accused of fraudulently obtaining $1.9 million from Medicare by billing for numerous COVID-19 test kits that he had sent to patients who had never requested them. Many of the patients were dead, the indictment says.

Pharmacy Owners Sentenced for $18M COVID-19 Health Care Fraud and Money Laundering Scheme

Two pharmacy owners were sentenced for using New York-area pharmacies to submit millions of dollars in false and fraudulent claims to Medicare and then laundering the proceeds, including during the COVID-19 pandemic.

Florida Man Sentenced to 96 Months in Prison for Role in Multimillion-Dollar Health Care Kickback Scheme

NEWARK, N.J. – A Florida man was sentenced to 96 months in prison for his role in a multimillion-dollar durable medical equipment (DME) kickback scheme.

Florida Felon Sentenced to Prison for Role in Multi-Million Dollar Health Care Kickback Scheme After Pleading Guilty to COVID-19 Fraud and Unlawfully Possessing Firearm

A Florida man was sentenced yesterday to 96 months in federal prison, to be followed by three years of supervised release, by U.S. District Judge Raag Singhal, after admitting his role in a multimillion-dollar durable medical equipment (DME) kickback scheme and pleading guilty to carrying out a COVID-19 fraud scheme and being a felon in possession of firearms and ammunition.

Laboratory Owners Charged in $36M COVID-19 Testing Fraud Scheme

An indictment was unsealed today in the Southern District of Florida charging three men for their alleged roles in an approximately $36 million health care fraud, wire fraud, and money laundering scheme that involved submitting false and fraudulent claims for COVID-19 testing to health care benefit programs, including Medicare and the Health Resources and Services Administration (HRSA) COVID-19 Uninsured Program.

Laboratory Owners Charged in $36M COVID-19 Testing Fraud Scheme

An indictment was unsealed today in the Southern District of Florida charging three men for their alleged roles in an approximately $36 million health care fraud, wire fraud, and money laundering scheme that involved submitting false and fraudulent claims for COVID-19 testing to health care benefit programs, including Medicare and the Health Resources and Services Administration (HRSA) COVID-19 Uninsured Program.

Woman Pleads Guilty to Theft and Misappropriation of COVID-19 Funds

A Louisiana woman pleaded guilty today to theft of public money in connection with a scheme to misappropriate over $780,000 from the Provider Relief Fund (PRF), a COVID-19 pandemic relief program administered by the Health Resources and Services Administration.

Laboratory Owner Pleads Guilty to $30M Medicare Fraud Scheme

A Florida man pleaded guilty today to his role in a scheme to defraud Medicare by billing for over-the-counter COVID-19 test kits and genetic tests that were ineligible for reimbursement and procured by paying illegal kickbacks and bribes.

Georgia Laboratory Owner Pleads Guilty to Felony Charge and Agrees to Pay $14.3 Million to Resolve False Claims Act Allegations

ATLANTA, GA – Andrew (“Drew”) Maloney, 57, of Roswell, Georgia, has pleaded guilty to a criminal information charging him with conspiracy to pay health care kickbacks. The plea agreement is part of a global settlement with the United States and several states in which Maloney and the clinical laboratory that he owned, Capstone Diagnostics, of Atlanta, Georgia, have also agreed to pay $14.3 million to resolve False Claims Act allegations that they paid volume-based commissions to independent contractor sales representatives in violation of the Anti-Kickback Statute to arrange for or recommend...

Florida Felon Admits Role in Multi-Million Dollar Health Care Kickback Scheme After Pleading Guilty to COVID-19 Fraud and Unlawfully Possessing Firearms

On Feb. 8, a Florida man admitted his role in a multimillion-dollar durable medical equipment (DME) kickback scheme, after previously pleading guilty to carrying out a COVID-19 fraud scheme and being a felon in possession of firearms and ammunition.

United Memorial Medical Center to pay $2M plus additional payments for allegedly causing false claims related to excessive cost outlier payments and double billing for Covid-19 tests

Doctor’s Hospital 1997 L.P. dba United Memorial Medical Center LLC (UMMC) has agreed to pay $2 million and to make additional contingent payments to resolve alleged False Claims Act violations

Doctor Pleads Guilty To Unlawful Drug Distribution, False Statement To Medicare, And Paycheck Protection Program Fraud

Tampa, FL – United States Attorney Roger B. Handberg announces that Tommy Louisville (71, Pembroke Pines) has pleaded guilty to unlawful drug distribution, making a false statement related to health care matters, and wire fraud. Louisville faces a maximum penalty of 10 years in federal prison for the drug distribution offense, up to 5 years’ imprisonment for the false statement offense, and up to 20 years in federal prison for the wire fraud offense. A sentencing date has not been scheduled.

Silicon Valley Executive Sentenced for Defrauding Investors and Participating in COVID-19 and Allergy Testing Scheme

The president of a Silicon Valley-based medical technology company was sentenced today to eight years in prison and ordered to pay $24 million in restitution for participating in a scheme to defraud investors and a scheme to commit health care fraud and pay illegal kickbacks in connection with the submission of over $77 million in claims for COVID-19 and allergy testing.

Middle District Of Florida Task Force Continues To Combat COVID-19 Fraud

Tampa, FL – United States Attorney Roger B. Handberg announces the results achieved by the Middle District of Florida’s efforts to combat fraud related to COVID-19. Those efforts have included complementary actions by the United States Attorney’s Office’s (USAO-MDFL) Criminal, Asset Recovery, Appellate, and Civil Divisions, along with federal, state, and local law enforcement agencies.

New York Man Admits Role in $127 Million Health Care Fraud and Kickback Scheme

NEWARK, N.J. – A New York man and owner of a marketing company today admitted his role in conspiracies to commit health care fraud and to pay and receive illegal kickbacks.

Woman Pleads Guilty to $359M Fraud Involving Claims for Unnecessary Respiratory Tests Submitted with COVID-19 Tests

A California woman pleaded guilty today to fraudulently submitting claims to governmental and private insurance programs during the COVID-19 pandemic for expensive and medically unnecessary respiratory pathogen panel (RPP) tests.

Orange County Doctor of Osteopathy Indicted in Quarter Billion Dollar Fraud Targeting Pandemic Program for Uninsured Patients

A federal grand jury has charged a doctor who operated clinics in Westminster and Garden Grove with defrauding a COVID-19 program for uninsured patients by submitting more than a quarter billion dollars in claims – ultimately receiving about $150 million in payments – for services not covered under the program or simply not provided.

Man Pleads Guilty to COVID-19 Fraud Scheme

A California man pleaded guilty yesterday to fraudulently obtaining $345,108 in COVID-19 pandemic relief loans from a financial institution and the Small Business Administration (SBA).

Bakersfield Dentist Pleads Guilty to Stealing $500,000 in COVID-19 Relief Money

Ranjan Rajbanshi, D.D.S., 46, of Bakersfield and Santa Barbara, pleaded guilty today to stealing $500,000 in COVID-19 relief money.

Maryland Doctor Convicted After Three-Week Trial for COVID-19 Healthcare Fraud Scheme

A federal jury in Maryland convicted Ron Elfenbein, M.D., age 49, of Arnold, Maryland, for five counts of healthcare fraud for submitting over $15 million in false and fraudulent claims to Medicare and other insurers for patients who received COVID-19 tests at sites operated by the defendant. Elfenbein is the first doctor convicted at trial by the Justice Department for health care fraud in billing for office visits in connection with patients seeking COVID-19 tests.

Owner of Health Care Company Pleads Guilty to Federal Charge for Conspiracy to Commit Health Care Fraud

Mboutchock Kabiwa a/k/a Eugenie Bakari or Eugenie Kabiwa, age 45, of Silver Spring, Maryland, pleaded guilty yesterday to conspiracy to commit health care fraud in connection with a scheme to pay bribes and kickbacks to Medicaid beneficiaries to induce the beneficiaries to visit her company Holy Health Care Services, LLC (“Holy Health”), a mental health services provider with locations in Washington, D.C.

Ocean County Man Admits $21.7 Million Health Care Fraud Scheme and COVID-19 Wire Fraud Scheme

NEWARK, N.J. – An Ocean County, New Jersey, man admitted his role in a durable medical equipment kickback scheme.

Woman Charged With Covid-19 Card Fraud

WILLIAMPSORT - The United States Attorney’s Office for the Middle District of Pennsylvania announced that Collen Brungard, age 37, of Milton, Pennsylvania, was charged on June 28, 2023

United States Attorney Vanessa R. Waldref Announces Eastern District of Washington’s Participation in Coordinated National Health Care Fraud Enforcement Action

Spokane, Washington – United States Attorney Vanessa R. Waldref announced criminal charges against two defendants in connection with millions of dollars in fraud prosecuted in the Eastern District

Pharmacist Convicted of Stealing and Selling COVID-19 Cards

A federal jury in Chicago convicted an Illinois pharmacist on Friday for stealing and selling COVID-19 vaccination cards.

University City Man Sentenced to 5 Years in Prison for Missouri Medicaid, Pandemic Loan Fraud

Lavaca Man Sentenced in $134 Million COVID-19 Health Care Fraud and Money Laundering Scheme

Lavaca Man Sentenced in $134 Million COVID-19 Health Care Fraud and Money Laundering Scheme

Physician Sentenced for Stealing Approximately $250K from COVID-19 Relief Programs

Physician Sentenced for Stealing Approximately $250K from COVID-19 Relief Programs

A Colorado physician was sentenced today to two and a half years in prison for fraudulently obtaining and misappropriating approximately $250,000 from two separate COVID-19 relief programs.

Slidell Woman Federally Indicted for Theft of Public Money, Wire Fraud, and Money Laundering

Justice Department Announces Nationwide Coordinated Law Enforcement Action to Combat COVID-19 Health Care Fraud

The Department of Justice today announced criminal charges against 18 defendants in nine federal districts across the United States for their alleged participation in various fraud schemes involving health care services that exploited the COVID-19 pandemic and allegedly resulted in over $490 million in COVID-19 related false billings to federal programs and theft from federally funded pandemic programs.

Boston Man Pleads Guilty to Embezzling Over $1.2 Million and Defrauding the Government

Physician Convicted for Misappropriating Approximately $250,000 from COVID-19 Relief Programs

Ashburn Woman Convicted of $2.5 Million Pandemic Fraud

Former Coral Springs Police Officer Ordered to Pay Restitution for COVID-19 Relief Fraud

Waterbury Woman Who Created False COVID-19 Vaccine Records is Sentenced

Justice Department Announces New Charges, Convictions, and Sentencings in Ongoing Initiative Targeting Pandemic Relief Fraud

The Department of Justice announced today new criminal charges, convictions, and sentences as part of its ongoing initiative to prosecute fraud in connection with various pandemic relief programs under the Coronavirus Aid, Relief, and Economic Security (CARES) Act, including the Paycheck Protection Program (PPP) and the Economic Injury Disaster Loan (EIDL) program, as well as other crimes relating to the COVID-19 pandemic.