healthcare fraud
UnitedHealth Group is under federal scrutiny following allegations of unethical coding practices related to its Medicare Advantage (MA) program. The U.S. Department of Justice is conducting both civil and criminal investigations into whether the healthcare giant manipulated diagnosis data to secure inflated reimbursements. UnitedHealth, which serves over 8 million MA recipients, disclosed its cooperation in […]
Dr. Joel Durinka of Orchard Park, NY, has been charged with health care fraud as part of a $14.6 billion nationwide takedown involving over 320 individuals. Accused of billing Medicare for $29.6 million in unnecessary brace orders and $5.6 million in fraudulent telehealth visits, Durinka also allegedly fabricated medical records. He faces charges of conspiracy […]
Kevin Whitman, a 27-year-old from Irondequoit, has been charged with impersonating a physician to illegally distribute controlled substances. Authorities say between August 2023 and April 2025, Whitman used a stolen DEA number linked to Strong Memorial Hospital to issue 177 prescriptions, 173 of which were for oxycodone, totaling over 38,000 doses. During a search of […]
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