Insurance Fraud – Ethics in Treatment

Addiction Treatment Facilities’ Medical Director Sentenced in $112 Million Addiction Treatment Fraud Scheme

Posted on July 8, 2022July 8, 2022 by Gregory Gooden

Addiction Treatment Facilities’ Medical Director Sentenced in $112 Million Addiction Treatment Fraud Scheme
A Florida doctor was sentenced today to 54 months in prison for engaging in a scheme that fraudulently billed approximately $112 million for substance abuse services that were never provided or were medically unnecessary.

Medical Director Convicted in $110 Million Addiction Treatment Fraud Scheme

Posted on February 11, 2022May 11, 2022 by Gregory Gooden

Medical Director Convicted in $110 Million Addiction Treatment Fraud Scheme
A federal jury convicted a Florida doctor yesterday in the Southern District of Florida for a health care fraud scheme that billed private health insurance companies approximately $110 million for addiction treatment services that were not medically necessary. This is the second trial conviction to arise out of the Justice Department’s Sober Homes Initiative.

South Florida Addiction Treatment Facility Operators Convicted in $112 Million Addiction Treatment Fraud Scheme

Posted on November 8, 2021November 8, 2021 by Gregory Gooden

South Florida Addiction Treatment Facility Operators Convicted in $112 Million Addiction Treatment Fraud Scheme
After a seven-week trial, a federal jury in the Southern District of Florida convicted two operators of two South Florida addiction treatment facilities for fraudulently billing approximately $112 million for services that were never provided or were medically unnecessary, and for paying kickbacks to patients through patient recruiters, and receiving kickbacks from testing laboratories.

Mass.gov notice on avoidance of treatment scams

Posted on October 23, 2020October 23, 2020 by Gregory Gooden

Avoiding addiction treatment scams
The Attorney General’s Office has received multiple reports of attempts to recruit Massachusetts residents with substance use disorder to travel to so-called “treatment centers” in Arizona, California, or Florida. These recruiters often use texts or social media to recruit patients. The recruiters may offer to pay for airfare and health insurance to cover the costs of treatment.

Big bust: 52 million dollar scheme.

Posted on July 4, 2020July 4, 2020 by Gregory Gooden

‘Real-life Frankensteins’: Doctor, 5 others charged in $52M scheme involving sober living patients undergoing surgery, OCDA says
A Beverly Hills surgeon, his girlfriend and four others were charged in connection with an elaborate scheme, paying patients at Southern California sober living homes to undergo medically unnecessary surgeries, medical testing and other procedures to bilk insurance companies out of nearly $52 million, officials said Friday.

$3.2 Million Sober Living Home Fraud Scheme Shut Down

Posted on January 17, 2020January 17, 2020 by Gregory Gooden

$3.2 Million Sober Living Home Fraud Scheme Shut Down
News: 2020 Press Release For Release: January 17, 2020 Email Inquiries: cdipress@insurance.ca.gov $3.2 Million Sober Living Home Fraud Scheme Shut Down Five defendants charged with multiple felonies for preying on vulnerable substance abuse patients to bilk insurance company out of millions SANTA ANA, Calif.

If someone dies….

Posted on November 16, 2019November 16, 2019 by Gregory Gooden

If somebody dies, even in drug rehab, shouldn’t it be a potential crime?
With enormous hope, Gail and Warwick Dunnett sent their son Harrison – a rapper, poet and musician who struggled with learning disabilities – to an addiction treatment center in Pasadena to get well. Harrison, 20, was giddy over his acceptance to the Los Angeles College of Music, and eager to start the next phase of his life.

Owner of California Substance Abuse Treatment Facilities Charged in Scheme to Defraud ACA Programs

Posted on November 15, 2019January 8, 2020 by Gregory Gooden

Owner of California Substance Abuse Treatment Facilities Charged in Scheme to Defraud ACA Programs
U.S. Attorney John H. Durham of the District of Connecticut, Special Agent in Charge Phillip Coyne of the Boston Regional Office of the Office of the Inspector General of the Department of Health and Human Services, Special Agent in Charge Brian C.

Liberation Way employees plead guilty in Bucks County addiction treatment scheme

Posted on September 4, 2019September 4, 2019 by Gregory Gooden

Liberation Way employees plead guilty in Bucks County addiction treatment scheme
Three employees of a shuttered addiction-treatment program in Bucks County have pleaded guilty to charges in an elaborate, multimillion dollar insurance fraud scheme, Pennsylvania Attorney General Josh Shapiro announced Wednesday. Prosecutors filed charges in March against 11 people and nine businesses associated with Liberation Way, a Yardley-based program that operated multiple treatment centers and unlicensed “sober houses” in Bucks and Montgomery counties.

Some rural hospitals used for big insurance reimbursements – and profit

Posted on July 25, 2019January 8, 2020 by Gregory Gooden

Some rural hospitals used for big insurance reimbursements – and profit
Some rural hospitals are being used to set up big paydays from insurance providers, raising questions about how insurance claims are reimbursed. Since 2010, 83 struggling rural hospitals have closed, and as many as 700 others are at risk of closing in the next decade.