Xerox Denies Lawsuit Claims of State and Dentists

Court of Law

Last week Xerox filed a response to both the lawsuit filed by the State of Texas and its dentist intervenors about Xerox's allegedly deficient Medicaid orthodontic prior authorization process that led to $1.1 billion in program spending without proper review. Xerox issued a general denial of all claims, stating: Subject to stipulations or admissions that may hereafter be made, Xerox enters its … [Read more...]

TDMR Requests Public Hearing on HHSC-OIG Compliance with Due Process Rights under SB 1803

Star of Texas with the State Capitol Building at Night

Letters to both Rep. Richard Peña Raymond and Rep. Lois Kolkhorst, chairmen of the House Human Services and Public Health Committees respectively, have been sent from TDMR President Greg Ewing requesting a public hearing on SB1803 and HHSC's compliance to the legislation. SB 1803 went into force September 1st last year and is supposed to provide  due process rights for Medicaid providers who … [Read more...]

Former Texas hospital chain owner found guilty of Medicare fraud | Dallas Morning News

TYLER — A federal jury took less than two hours on Thursday to find a Dallas businessman who plunged his rural hospital chain into ruin guilty of health-care fraud and conspiracy. Dr. Tariq Mahmood, 63, was convicted on 15 fraud counts, including aggravated identity theft. Mahmood directed his hospital billing coders to illegally alter underlying diagnoses in more than $1.1 million in claims to … [Read more...]

Gov’s Office Considers Suing Xerox Over Botched System Rollout | Alaska Public Media

The Governor’s office may sue Xerox Corporation for the bungled rollout of a new system to process Medicaid claims. The Enterprise Medicaid Management System was supposed to replace the state’s antiquated 30 year old computer program. It went live on October 1 last year and Commissioner Bill Streur says it had problems right from the start. “What has happened is this new whiz bang state of … [Read more...]

Competitors in New York Protest Awarding of $550M Medicaid Contract to Xerox

new york

Back in May, shortly after Texas filed suit against Xerox and removed the company as the lead contractor in the Texas Medicaid and Healthcare Partnership for its failure to properly handle Medicaid orthodontic prior authorizations leading to $1.1 billion in program expenditures, the State of New York awarded Xerox a $550 million dollar contract to build a new Medicaid management system for the … [Read more...]

Competitors question state’s Medicaid contract with Xerox | Capital New York

ALBANY—New York State’s decision to award a $550 million Medicaid management contract to Xerox is being challenged by two companies who say the company's recent history of Medicaid management in other states should disqualify it from running New York’s system. Hewlett-Packard and Computer Sciences Corp. filed complaints with the state comptroller’s office alleging the contract was improperly … [Read more...]

USDOJ: Alabama Hospital System and Physician Group Agree to Pay $24.5 Million to Settle Lawsuit Alleging False Claims for Illegal Medicare Referrals

Mobile, Alabama-based Infirmary Health System Inc. (IHS), two IHS-affiliated clinics and Diagnostic Physicians Group P.C. (DPG) have agreed to pay the United States $24.5 million to resolve a lawsuit alleging that they violated the False Claims Act by paying or receiving financial inducements in connection with claims to the Medicare program, the Justice Department announced today. “Financial … [Read more...]

Lawsuit Alleges Xerox Wrote Misleading Documents on Ortho Prior Authorizations

justice for texas medicaid providers

As part of the lawsuit against Xerox, the former lead contractor for the Texas Medicaid and Healthcare Partnership, the Texas Office of the Attorney General alleges that Xerox, from the beginning of its contract with Texas, wrote misleading documents that indicated each request for Medicaid orthodontic treatment was submitted to and reviewed by its dental director when this was not the … [Read more...]

Farmers Insurance PAC Gives to Abbott Amid Lawsuit | The Texas Tribune

As Texas neared the end of a decade-long legal fight over homeowners’ insurance rates with Farmers Insurance Group in December, the company's employees PAC gave $50,000 to the gubernatorial campaign of Attorney General Greg Abbott — the top lawyer in the state’s case against the company. The contribution took Abbott's receipts in his race to succeed Texas Gov. Rick Perry to more than $75,000 … [Read more...]

Almost Two Years Now – Jack Stick DWI

Jack Stick's DWI hearing is being delayed once again. Now until August 28th. This is almost two years since his arrest in Austin back in September, 2012. The Travis County Criminal Courts docket search entry can be found here. … [Read more...]