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Medical Fraud Exposed

Medical Fraud Exposed

"Unmasking Medical Fraud: Your Rights, Your Records"

 
 
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Category Archives: FBI

Stolen name, stolen benefits: New details on alleged cult, FBI raid on mansion

Medical Fraud Exposed Posted on September 11, 2025 by AdminSeptember 11, 2025  

Stolen name, stolen benefits

MARTINEZ, Ga. (WRDW/WAGT) – The FBI and Columbia County deputies raided a West Lake mansion Wednesday, arresting the leader of the House of Prayer — a group critics call a cult that scams veterans out of benefits.

Columbia County deputies assisted with the raid at 3816 Honors Way, but it’s a Federal Bureau of Investigation case involving allegations of financial or identity theft and fraud.

The founder of the House of Prayer was taken into custody and booked into jail, but we’re not even sure who the mysterious man really is.

He goes by Rony Denis, but federal authorities say he stole that identity in 1983, so they don’t know his true name.  Source

Posted in Augusta, FBI, Fraud Investigations, Identity Theft | Leave a reply

Florida Man Sentenced To More Than 17 Years For Scheme To Steal More Than $10.8 Million From Medicare

Medical Fraud Exposed Posted on July 31, 2025 by AdminJuly 31, 2025  

Tampa, FL – District Judge Virginia M. Hernandez Covington has sentenced Lino Mallari Gutierrez, a/k/a “Joe Gutierrez,” (59, Palm City) to 17 years and 6 months in federal prison and ordered him to pay more than $5.6 million in restitution for his role in a scheme to defraud Medicare. Gutierrez and his co-conspirators submitted over $10.8 million in fraudulent claims for durable medical equipment (DME) that Medicare beneficiaries did not want or need and that were procured through the payment of kickbacks. Gutierrez was convicted at trial in April 2025, of eleven health care fraud-related offenses, including conspiracy, health care fraud, and … Read More

Posted in False Claims, FBI, Kickbacks, Medicare | Leave a reply

Woodstock pain management doctor and clinics pay $625,000 to resolve false claims act allegations

Medical Fraud Exposed  

ATLANTA – James Ellner, M.D., and his Woodstock, Georgia pain management practice, Georgia Pain Management, P.C., and ambulatory surgical center, Samson Pain Center, P.C, agreed to pay $625,000 to resolve allegations that they violated the False Claims Act (FCA) by submitting improper claims to the Medicare and TRICARE programs for evaluation and management services and medically unnecessary urine drug screening tests. “The federal government expects that physicians and their practices will properly bill Medicare and TRICARE for services they provide,” said U.S. Attorney Ryan K. Buchanan.  “The Department of Justice will work diligently to hold healthcare providers accountable when they … Read More

Posted in False Claims, FBI, Medicare | Leave a reply

Nevada Nurse Practitioner Pleads Guilty To Fraudulent Medicare Wound Care Billing

Medical Fraud Exposed  

Nurse’s GREED exposes patients with unreasonable and unnecessary procedures in exchange for illegal health care kickbacks and bribes.  Mary Huntly faces a maximum statutory penalty of five years in prison and will have to deal with the Federal Healthcare Exclusion Statute which will exclude her from participation in all Federal health care programs after her jail term. LAS VEGAS – A Las Vegas nurse practitioner pleaded guilty today to conspiring to fraudulently bill Medicare for amniotic wound allografts for patients that were medically unreasonable and unnecessary in exchange for illegal health care kickbacks. Mary Huntly, 67, was charged with one-count of … Read More

Posted in False Claims, FBI, Kickbacks, Medicare | Leave a reply

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Medical fraud affects everyone. It can lead to wrong diagnoses, unnecessary treatments, and puts patient care at risk.
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Read Next

  • El Paso Doctor Pays $200,000 to Resolve Federal and State Fraud Allegations
  • Kaiser Permanente to Pay $556 Million Over Alleged Medicare Advantage Fraud
  • Florida Man Admits Role in Medicare Kickback Scheme for Unnecessary Prescriptions
  • New York Doctor Sentenced for Kickback Scheme Involving Unnecessary Brain Scans
  • Combating Durable Medical Equipment Fraud
  • $45M Settlement: Vohra Wound Physicians Accused of Medicare Fraud Wound Care
  • Patients Choice Laboratories Pays $9.6M to Settle Medicare Kickback and False Claims Allegations
  • Pharmacy Owner Pleads Guilty in $2.5M Medicare Fraud Scheme
  • Anchorage Doctor and Husband Admit $12.5M Medical Fraud and Tax Evasion
  • Mother Sentenced in $11K Medicaid Fraud Scheme
  • Reno OB-GYN Indicted for Massive Unnecessary Gynecologic Procedures Fraud Scheme
  • $37M Settlement in Medicare Fraud Device Scheme: Semler & Bard Misled Providers on PAD Tests
  • Reno OB-GYN Indicted for Massive Health Care Fraud Scheme
  • Medicare Skin Graft Fraud Scheme Uncovered in California
  • Prenatal Medicaid Fraud Scheme Fraudster Convicted in Precious Cruse, Case
  • $17M Healthcare Chicago Healthcare Fraud Indictment Uncovered
  • DOJ indicts church leaders in alleged multi-million-dollar fraud targeting military vets
  • Louisiana Chiropractor Insurance Scam Jailed Seven Years
  • Stolen name, stolen benefits: New details on alleged cult, FBI raid on mansion
  • Keep Current with Electronic Medicare Summary Notices to Review for Fraud
  • $6M Settlements in Lab Kickback Scheme: CEO, Doctors, and Marketers Implicated
  • Doctor Sentenced to 45 Years in Prison for Providing Medically Unnecessary Fraudulent Claims Cancer for Patients
  • Burbank Lab Owner Admits $11M Medicare Tax Fraud Evasion
  • Health Agency CEO Sentenced in Houston Medicare Fraud Case
  • Connecticut Man Charged in Medicare Advantage Fraud Scheme

Comments

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"Unmasking Medical Fraud: Your Rights, Your Records"

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Welcome: Medical Fraud Exposed

This blog exists to shine a light on the dark underbelly of medical fraud, a pervasive issue fueled by greed that undermines trust in healthcare. While many physicians are dedicated and ethical, others prioritize profit over patient care. Warning signs abound: a doctor lamenting that avoiding spinal injections cuts into their “bread and butter,” or medical notes filled with inaccuracies, documenting procedures or discussions that never happened—sometimes so off-base they seem written for another patient.

Our mission is to empower you to recognize these red flags, demand accountability, and protect yourself. Always review your visit notes, correct errors, and report suspected fraud. Through real stories, insights, and resources, MEDICAL FRAUD EXPOSED is here to expose deceit, advocate for transparency, and champion the integrity of healthcare. Join us in uncovering the truth. Feel free to Comment.



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