Medicare Blog

how much money did dr. melgen sreal from medicare?

by Norval Dooley Published 2 years ago Updated 1 year ago
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In sentencing Melgen, Judge Marra found that the intended fraud loss was over $70 million and the actual fraud loss to Medicare was $42 million.Feb 22, 2018

Full Answer

What drug did Bill Melgen overbill Medicare?

That's when the Centers for Medicare and Medicaid Services (CMS) discovered that Melgen had overbilled Medicare for $8.9 million for a drug called Lucentis, which is used to treat macular degeneration and other retina problems, according to court documents.

Who is Bill Melgen and what did he do?

In a separate federal case, Melgen was accused of bribing U.S. Sen. Bob Menendez. Melgen got involved in politics in 1997, hosting Democratic fundraisers at his home where he rubbed elbows with Menendez, D-NJ, and other congressional leaders.

Who is Dr Salomon Melgen and why is he in jail?

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What did Melgen do to get caught?

In 2015, Melgen was formally charged with more than 76 counts of health care fraud and making false statements, according to the Justice Department. He was found guilty on all charges by a jury in April of this year and surrendered his medical license following the conviction, according to court documents.

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When did Melgen get involved in politics?

Melgen got involved in politics in 1997 , hosting Democratic fundraisers at his home where he rubbed elbows with Menendez, D-NJ, and other congressional leaders. Melgen paid for expensive trips abroad with the senator, but Menendez reimbursed Melgen $58,500 after the trips became public.

Was Melgen's gift to Menendez a bribe?

Prosecutors attempted to prove Melgen’s gifts to Menendez were actually bribes in exchange for the senator’s intervention in the Medicare investigation, among other favors. That trial ended in a hung jury and prosecutors decided against retrying the case. Melgen was facing more than 600 years in prison at one point.

What happened to Melgen's business?

Two years later, in 2011, Melgen's business was slapped with a $11 million lien from the IRS. In 2015, Melgen was formally charged with more than 76 counts of health care fraud and making false statements, according to the Justice Department. He was found guilty on all charges by a jury in April of this year and surrendered his medical license following the conviction, according to court documents.

Did Melgen overcharge Medicare?

That's when the Centers for Medicare and Medicaid Services (CMS) discovered that Melgen had overbilled Medicare for $8.9 million for a drug called Lucentis, which is used to treat macular degeneration and other retina problems, according to court documents.

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