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Tag: health care fraud

FBI Lists Most Significant Cases of 2012

Steve Neavling
ticklethewire.com

From espionage to cyber hacking, the FBI has taken on a lot of significant cases in 2012.

The following list was posted by the FBI.

Insider trading: Charges against seven investment professionals were announced in New York in January alleging an insider trading scheme that netted nearly $62 million in illegal profits. Details

California gang takedown: A total of 119 defendants were charged in San Diego in January with federal racketeering conspiracy, drug trafficking violations, and federal firearm offenses in one of the largest single gang takedowns in FBI San Diego history. The target was the Mexican Mafia gang and its affiliates.Details

Economic espionage: In February, a federal grand jury in San Francisco charged five individuals and five companies with economic espionage and theft of trade secrets in connection with their roles in a long-running effort to obtain U.S. trade secrets for the benefit of companies controlled by the People’s Republic of China. Details

Cyber hackers charged: Several hackers in the U.S. and abroad were charged in New York in March with cyber crimes affecting over a million victims. Four principal members of the hacking groups Anonymous and LulzSec were among those indicted; another key member previously pled guilty to similar charges. Details

Anchorage man indicted for murder: In April, Israel Keyes was charged with the kidnapping and murder of an Anchorage barista. Keyes is believed to have committed multiple kidnappings and murders across the country between 2001 and March 2012. In December, after Keyes committed suicide in jail, the FBI requested the public’s help regarding his other victims. Details

Financial fraudster receives 110-year sentence: In June, Allen Stanford—the former chairman of Stanford International Bank—was sentenced in Houston to 110 years in prison for orchestrating a 20-year investment fraud scheme in which he misappropriated $7 billion to finance his personal businesses.Details

Nationwide sweep recovers child victims of prostitution: The FBI and its partners announced the results of Operation Cross Country, a three-day law enforcement action in June in which 79 child victims of prostitution were recovered and more than 100 pimps were arrested. Details

International cyber takedown: Also in June, a two-year FBI undercover cyber operation culminated in the arrest of 24 individuals in eight countries. The investigation focused on “carding” crimes—offenses in which the Internet is used to steal victims’ credit card and bank account information—and was credited with protecting over 400,000 potential cyber crime victims and preventing over $205 million in losses.Details

Health care fraud: In July, global health care company GlaxoSmithKline pled guilty to fraud allegations and failure to report safety data and agreed to pay $3 billion in what officials called the largest health care fraud settlement in U.S. history. Details

Russian military procurement network: In October, 11 members of a Russian military procurement network operating in the United States and Russia, as well as a Texas-based export company and a Russia-based procurement firm, were indicted in New York and charged with illegally exporting high-tech microelectronics from the U.S. to Russian military and intelligence agencies. Details

Feds Crack Down On Medicare Fraud to the Tune of $452 Million

Shoshanna Utchenik
ticklethewire.com

DETROIT — The Justice Department  on Wednesday announced that it had charged 107 people including nurses, doctors and social workers in a nationwide crackdown on Medicare fraud in seven cities involving a staggering $452 million in false billing.

As part of the crackdown, 22 people were charged in Detroit  with fraud involving about $58 million. The Detroit Free Press wrote that Detroit has become one of the nation’s “new frontiers” for Medicare fraud.

Read the press release.

NJ Feds and State Atty. Gen. Publicly Fight Over Taking Credit in Health Fraud Settlement


NJ Atty. Gen. Paula Dow

By Allan Lengel
ticklethewire.com

It’s not unusual for law enforcement agencies to clash behind close doors. It just happens sometimes.

But it is unusual when they start to spat in a very public way the way the New Jersey U.S. Attorney’s Office and the state Attorney General’s Office did.

The Newark Star-Ledger reports that each claimed credit Monday for a national, $150 million health care fraud settlement.

The paper reported that Assistant U.S. Attorney J. Gilmore Childers first publicly said in a statement to reporters that the state “played a limited administrative role in this case.”

“It is troubling and disappointing that they would take credit for years of tireless work done by federal agents and prosecutors,” Childers said, “particularly concerning an issue so important to the people of New Jersey.”

An hour later, the paper reported,  Attorney General Paula Dow publicly said the feds account was a “mischaracterization.”

She said he was “downplaying the role of the New Jersey Attorney General’s Office in leading 41 states to participate in this important national healthcare fraud case.”

The feds then fired back, according to the Star-Ledger.

“While pretending to be disinterested in who gets credit, the AG’s office has continued to make claims about its role that are not true,” a spokeswoman, Rebekah Carmichael, said in a statement.