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Medical Fraud Exposed

Medical Fraud Exposed

"Unmasking Medical Fraud: Your Rights, Your Records"

 
 
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Tag Archives: False Claims Act

$6M Settlements in Lab Kickback Scheme: CEO, Doctors, and Marketers Implicated

Medical Fraud Exposed Posted on September 10, 2025 by AdminSeptember 10, 2025  

Laboratory Kickback Fraud SettlementsLaboratory Kickback Fraud Settlements

In a sweeping crackdown on healthcare fraud, former True Health Diagnostics CEO Christopher Grottenthaler has agreed to pay $4.25 million to resolve allegations of Laboratory Kickback Fraud Settlements to physicians for lab test referrals. The Department of Justice also secured $1.8 million in additional settlements from two doctors and seven marketers across Texas, accused of disguising kickbacks as investment distributions through Managed Service Organizations (MSOs).

The scheme involved payments masked as consulting fees, handling charges, and copay waivers, targeting federally funded programs including Medicare, Medicaid, and TRICARE. Despite internal warnings about legal risks, Grottenthaler allegedly continued the practice, prompting whistleblower STF LLC to file suit under the False Claims Act.

Physicians Hong Davis and Elizabeth Seymour were implicated for accepting payments in exchange for directing tests to labs in Texas and Massachusetts. Marketers from True Health and Boston Heart Diagnostics also settled, with some facing parallel criminal charges.

These settlements bring the DOJ’s total recovery in MSO-related lab fraud cases to over $59 million, underscoring the government’s aggressive stance against schemes that compromise patient care and misuse taxpayer funds.

“Kickbacks to doctors can undermine medical decision-making and squander taxpayer money,” said DOJ Civil Division’s Brett A. Shumate.

The case remains active against other defendants. Allegations are civil in nature, with no admission of liability.

Posted in Corporate Accountability, Fraud Investigations, Healthcare Oversight, Kickbacks, Legal & Regulatory, Medicare, Public Health Policy, Whistleblower Actions | Tagged Anti-Kickback Statute, DOJ Settlements, False Claims Act, Government Accountability, Healthcare Fraud, Laboratory Testing, Medical Ethics, Medicare Abuse, TRICARE Integrity, Whistleblower Lawsuit | Leave a reply

💊 Pennsylvania Pharmacy Pays $825K to Resolve Medicare Fraud Allegations

Medical Fraud Exposed Posted on August 14, 2025 by AdminAugust 14, 2025  

🧠 Overview West End Services, Inc. (WES), a Pennsylvania pharmacy, and its owner-pharmacist Christopher Leon have agreed to pay $825,000 to settle allegations that they violated the False Claims Act by billing Medicare for prescription drugs that were never dispensed. Between January 1, 2014, and February 24, 2019, WES submitted claims for medications such as Latuda, Humira, Abilify, Invega Sustenna, Seroquel, Acyclovir, Flovent, and Truvada—none of which were actually provided to patients. 🗣️ Federal Response “Pharmacy fraud remains a priority for our office,” said U.S. Attorney David Metcalf. “Taxpayer dollars should be spent on needed medications—not wasted on fraud and … Read More

Posted in False Claims, Medicare | Tagged DOJ Settlements, False Claims Act, Healthcare Integrity, Medicare Fraud, Pharmacy Accountability, Prescription Billing Abuse | Leave a reply

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Read Next

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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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