Category Archives: Medical Ethics

Combating Durable Medical Equipment Fraud

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🚨 Take Action Against DME Fraud

Fraud involving Durable Medical Equipment doesn’t just drain taxpayer dollars — it can also put patients’ health at risk and is a serious concern. If you suspect fraud, waste, or abuse in the healthcare system, you don’t have to stay silent.

The HHS Office of Inspector General (OIG) encourages anyone with concerns to report them through the official hotline. Reporting can help investigators protect patients and hold bad actors accountable. Every tip helps.

👉 Report suspected fraud: HHS OIG Hotline or call 1‑800‑HHS‑TIPS (1‑800‑447‑8477). Don’t ignore signs of Durable Medical Equipment Fraud.

Together, we can safeguard healthcare resources and ensure Durable Medical Equipment serves the people who truly need it.

Video from U.S. Department of Health and Human Services

 

Pharmacy Owner Pleads Guilty in $2.5M Medicare Fraud Scheme

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Newark, N.J. – The U.S. Attorney’s Office has announced that Nestor E. Jaime, 37, of Pine Brook, New Jersey, pleaded guilty to a sweeping health care fraud scheme that siphoned millions from Medicare. This is a case of New Jersey Pharmacy Fraud involving significant deceit. Between December 2019 and December 2021, Jaime operated a pharmacy in Paterson, New Jersey, where he submitted hundreds of false claims for the high‑reimbursement drug Dificid—valued at more than $4,000 per prescription. The pharmacy’s fraudulent activities are an example of New Jersey Pharmacy Fraud, as it never purchased or dispensed the medication. To disguise the … Read More

Anchorage Doctor and Husband Admit $12.5M Medical Fraud and Tax Evasion

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Anchorage, Alaska – A shocking case of deception has come to light as Dr. Claribel Tan, 61, and her husband Daniel Tan, 70, pleaded guilty to orchestrating an Anchorage Medical Fraud Scheme involving a $12.5 million health care fraud scheme while evading more than $4 million in taxes. Operating a rheumatology clinic in Anchorage, Dr. Tan specialized in treating autoimmune and musculoskeletal diseases. Instead of providing proper care, she routinely underdosed patients, injected expired drugs, substituted free samples, or used medications purchased by other patients. This Anchorage Medical Fraud Scheme allowed the couple to bill insurance companies as if full, … Read More

$37M Settlement in Medicare Fraud Device Scheme: Semler & Bard Misled Providers on PAD Tests

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Two medical device companies—Semler Scientific Inc. and Bard Peripheral Vascular Inc.—will pay nearly $37 million to resolve allegations tied to a Medicare Fraud Device Scheme. The U.S. Department of Justice (DOJ) claims both companies knowingly caused healthcare providers to submit false Medicare claims for vascular tests using Semler’s FloChec and QuantaFlo devices. These devices, which rely on photoplethysmography—a method not covered by Medicare—were falsely promoted as qualifying for reimbursement under CPT codes 93922, 93923, and 93924. The settlement addresses claims that both companies knowingly caused healthcare providers to submit false Medicare claims for tests using Semler’s FloChec and QuantaFlo devices. … Read More

Reno OB-GYN Indicted for Massive Health Care Fraud Scheme

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  RENO, NV — Dr. Samuel R. Chacon, a Reno-based OB-GYN and former owner of Women’s Health Center of Reno, has been indicted for allegedly defrauding multiple health care benefit programs by submitting false claims associated with unnecessary procedures. This focus on false claims for unnecessary procedures emphasizes the severity of the case. The alleged scheme, spanning from 2017 to 2022, involved falsified patient records and misrepresented diagnoses, leading to surgeries that in some cases caused serious bodily harm. According to federal prosecutors, Dr. Chacon billed Medicaid and several private insurers for procedures such as hysterectomies, bladder slings, and vaginal … Read More

Prenatal Medicaid Fraud Scheme Fraudster Convicted in Precious Cruse, Case

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On September 12, 2025, Precious Cruse, the former owner and operator of Milwaukee’s now-defunct Caring Through Love prenatal care coordination business, was found guilty of Prenatal Medicaid Fraud Scheme on seventeen federal charges, including healthcare fraud, making false statements related to health care matters, anti-kickback statute violations, aggravated identity theft, and money laundering. justice+1 Evidence showed that Cruse targeted vulnerable pregnant women and young mothers, enticing them to enroll in her company’s prenatal care coordination program with kickbacks such as free baby supplies. After enrollment, the company used the women’s personal information to file false Medicaid claims for services never … Read More

Keep Current with Electronic Medicare Summary Notices to Review for Fraud

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It’s easy, quick to access, and review your electronic Medicare Summary Notices (MSNs).  Learn what has been sent to Medicare and review for fraud. With electronic Medicare Summary Notices (MSNs), you can see your claims faster, making it easier to spot fraud. Any month you have processed claims, you’ll get a secure link to your eMSN. Sign up or log in to your secure Medicare account and stay current: https://t.co/JdyJkOI8Od pic.twitter.com/hCCL228kOZ — Medicare.gov (@MedicareGov) September 10, 2025

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