Category Archives: Healthcare Fraud

Doctor Sent To Prison For Obstructing Medicare Audit

Dr. John Janick of Port Charlotte was sentenced to five months in prison and three years of parole for lying to during a Medicare audit. Dr. Janick lied to a Medicare program integrity contractor about office space that was being utilized by his wife Lisa McLaren Janick who was found guilty of health care fraud in another related case. Mrs. Janick used the office to gain access to sensitive patient data and generate bogus patient referrals from the Janick Medical Group to her third-party employer.

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Filed under Healthcare Fraud, Uncategorized

Vero Beach Acupuncturist Charged with Insurance Fraud and Racketeering

Jill Jaynes of Absolute Integrated Medicine in Vero Beach has been arrested and charged with insurance fraud totaling nearly $1.5 million, racketeering and more. If Jaynes is convicted, she could face up to 135 years in prison and millions of dollars in fines.

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Filed under Healthcare Fraud, Insurance, Insurance Fraud

Owner of Medical Billing Company Pleads Guilty to Healthcare Fraud Scheme

According to the report, Billings USA received or created fabricated bills for its clinic customers. The clinics would then bill insurance companies for allowable amounts and create records to back up the charges.  Billings USA collected a 6% fee on the reimbursement from insurers. Palma’s company filed $5.7 million in fraudulent claims to Blue Cross Blue Shield with one clinic and then an additional $5.9 million in fraudulent claims to Blue Cross and Cigna with another clinic.

Mauricio Palma, the owner of medical billing office Billing USA in Miami, pleaded guilty to conspiracy to commit healthcare fraud and was sentenced to eight years in prison. Palma faces $2.1 million in restitution lost $1.8 million in forfeiture.

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Filed under Fraud, Healthcare Fraud, Healthcare Fraud