Medicare fraud is big business, and like most businesses, it has adapted to the new environment of the COVID-19 pandemic. “The public health emergency created an opportunity for fraudsters to modify and repurpose existing schemes,” a spokesperson for the Centers for Medicare & Medicaid Services, or CMS, said in an email. CMS has seen bad…
Feds Announce Medicare Claims Settlement with Placentia Company
July 23, 2021
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LOS ANGELES, Calif.—A Placentia-based company has agreed to pay $2 million to resolve a federal complaint that the U.S. Attorney’s Office said was triggered by Medicare claims for rehabilitation therapy that was considered unreasonable or unnecessary, officials said July 23. The settlement covers claims made from Jan. 1, 2006, through Oct. 10, 2014, from Interface…
Seal Beach Doctor Pleads Guilty in $8.4 Million Health Care Fraud Scheme
June 3, 2021
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LOS ANGELES—A Seal Beach doctor pleaded guilty June 2 to a federal conspiracy charge, admitting he participated in a scheme to submit $8.4 million in phony claims to Medi-Cal for services never provided. Dr. Keyvan Amirikhorheh, 61, who worked as a physician at Los Angeles Community Clinic, and four co-defendants raked in $6.6 million from…
Final Doctor Sentenced in $153 Million Medical Insurance Fraud Scheme
January 29, 2021
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SANTA ANA (CNS)—A 73-year-old physician—the last of 19 defendants in a $154 million medical insurance fraud scheme dating back more than two decades—was sentenced Jan. 29 to three years of formal probation, 1,000 hours of community service and ordered to pay $2.9 million in restitution. Dr. Mario Rosenberg, was indicted along with a dozen others in…
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