Archive for April, 2010

Former Haven Healthcare CEO Jailed

Following a lengthy Qui Tam trial, the former Chief Executive Officer of Haven Healthcare, a company responsible for the mismanagement of several nursing homes on the East Coast. Raymond Termini of Middletown was also sentenced to three years of supervised release following his release from prison. In addition to jail time and supervised time following release, United States District Judge Stefan R. Underhill also sentenced Termini to a fine in the amount of $6,000 and a relinquishment of $500,000 to the federal government.

Termini and his colleagues set up a scheme to defraud Omega Healthcare Investors, an East Coast real estate firm specializing in nursing homes. Omega agreed to provide funding requested by Haven in order to finance improvements to the nursing facilities’ fire sprinkler systems. Although Haven executives received the $956,090 from Omega, they did not spend the money on the intended changes and instead used the funds, along with a loan taken out on behalf of Haven, for private family investments.

Learn how the healthcare attorneys at Berg & Androphy have helped recover hundreds of millions for the government and whistleblowers.

Posted in Health Care FraudNo Comments

Joel Androphy on ABC News

A nurse in a small Texas town blew the whistle on a doctor who she believed was improperly performing surgeries and mis-prescribing drugs. See what whistleblower attorney Joel Androphy has to say in this short video clip from ABC:

Posted in Health Care Fraud, WhistleblowersNo Comments

Convictions in Detroit-Area Medicare Fraud Scheme

Physician Alan Silber of West Bloomfield, Michigan and Detroit-area resident Hassan Reeves have been convicted in a Medicare fraud case. The scheme ultimately took $1 million from Medicare, and Silber was charged on six counts of Medicare fraud by a federal jury, following the week long trial of himself and Reeves.

Reeves played a role as a patient recruiter and was charged with one charge conspiracy to commit health care fraud and one count of conspiracy to pay health care kick backs. The two will be sentenced on August 6th of this year. Each count of conspiracy is worth up to 10 years in prison and a $250,000 fine, while the charge of conspiracy to pay health care kickbacks carries a maximum of only 5 years and $250,000.

The scheme was started by Denisse and Jose Martinez, the owners of the clinic, who have previously plead guilty for the scheme. According to reports, the clinic consistently billed Medicare for services that were neither performed or necessary. Evidence used in the trial showed that while many medications were prescribed, most were prescribed based on Medicare reimbursement policies and were never purchased or distributed to patients.

Denisse Martinez routinely filled out the diagnosis and treatment sections of patient folders, which Silber would then sign without examining patients or understanding their symptoms. Many of the medications prescribed were not medically necessary for the patients to whom they were prescribed and, in some cases, could have actually harmed patients if they had been taken.

Posted in Anti-Kickback Statute, Health Care Fraud, Medicare FraudNo Comments

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