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Tag: Health Care Fraud

Federal Fraud Task Force Targets Billing Practices Behind Pediatric Gender Treatments
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Daily Wire, Approved, National

Federal Fraud Task Force Targets Billing Practices Behind Pediatric Gender Treatments

By Mary Margaret Olohan | The Daily Wire Vice President JD Vance’s Fraud Task Force is referring a number of hospitals and clinics to the Justice Department and the HHS Inspector General for possible violations of federal law. Those hospitals have billed millions of dollars in insurance claims for puberty blockers for children, according to a new Department of Health and Human Services (HHS) report. Now the Trump administration is investigating. HHS released “Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of ‘Gender Medicine'” on Thursday morning. The report examines insurance coding, financial incentives, and the “provision” of transgender medical procedures for minors, including puberty blockers, cross-sex hormones, and surgeries....
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Colorado firm Zynex forfeits nearly $100M as former executives face federal charges
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Rocky Mountain Voice, State, Top Stories

Colorado firm Zynex forfeits nearly $100M as former executives face federal charges

By Shaina Cole | Contributing Writer, Rocky Mountain Voice An Englewood medical device company has agreed to pay millions and walk away from nearly 100 million dollars in unpaid claims after a federal investigation into its TRICARE billing practices. This week, the U.S. Department of Justice announced that Zynex, Inc. entered into a criminal Non-Prosecution Agreement. Prosecutors said the company submitted claims for medical supplies “in quantities that exceeded physician orders” and, in some instances, were “not medically necessary.” At the same time, a federal grand jury indictment charging former CEO Thomas Sandgaard and former Chief Operating Officer Anna Lucsok was unsealed. The company secured a deal. Its former executives now face criminal charges ...
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$4 million-plus in alleged Medicaid ride billing draws federal fraud charges in Colorado
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Rocky Mountain Voice, State, Top Stories

$4 million-plus in alleged Medicaid ride billing draws federal fraud charges in Colorado

By Shaina Cole | Contributing Writer, Rocky Mountain Voice Colorado’s Medicaid transportation system operates on a straightforward premise. A ride is provided to a qualified Medicaid recipient. Documentation is submitted. The state reimburses the provider. For thousands of Coloradans, particularly those in rural communities or without reliable transportation — that structure makes routine medical care possible. But federal prosecutors now allege that in two separate cases, the reimbursement model itself was manipulated. Non-emergent medical transportation billing is the focus in the cases that have been filed in U.S. District Court this month regarding providers in Mesa and Douglas counties. The cases involve more than $4 million. On Feb. 10, the U...
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Colorado Medical Device Executives Indicted in Massive $873M Fraud Case
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DENVER7, Approved, Local

Colorado Medical Device Executives Indicted in Massive $873M Fraud Case

By Robert Garrison | Denver7 Indictment also accuses one of retaliating against reporter. DENVER — A federal grand jury has charged two former executives of a Colorado medical device company with planning to cheat health care programs and investors, and with other types of fraud. The Rhode Island grand jury unsealed the indictment on Wednesday, charging the former chief executive officer and chief operating officer of Zynex, Inc., a Douglas County-based company. Thomas Sandgaard, 67, of Castle Rock, and a dual citizen of the United States and Denmark, and Anna Lucsok, 39, of Denver, and a dual citizen of the United States and the Ukraine, were indicted on one count of conspiracy to commit health care fraud, mail fraud, and securities fraud; nine counts of...
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