Four people were arrested Thursday on charges they participated in a multimillion-dollar scam to defraud Amtrak by bribing employees of the rail agency to submit bogus claims to the Amtrak health insurance plan, authorities said. Muhammad Mirza, 50, of Cedar … Read More
CHARLOTTE — A Charlotte doctor is facing federal charges in a scheme that defrauded federal benefits programs of more than $11 million, the U.S. Attorney’s Office announced Monday. Sudipta Mazumder, 46, of Charlotte, was charged with one count of health … Read More
An ophthalmologist in Florida has been acquitted of Medicare fraud charges. Dr. Lauren Rosecan was accused of healthcare fraud and submitting false statements to Medicare, the Miami Herald reports. He was acquitted on 22 counts by a jury in federal … Read More
The Office of Massachusetts Attorney General Maura Healey announced on June 21 that Pathways of Massachusetts, which was an “outpatient behavioral health provider,” and its former corporate parent Molina Healthcare, Inc., will pay $4.6 million to resolve allegations of False … Read More
FLORHAM PARK, N.J., May 11, 2022 (GLOBE NEWSWIRE) — Conduent Incorporated (Nasdaq: CNDT), a business process services and solutions company, today announced it has been selected as a qualified solutions provider by the National Association of State Procurement Officials (NASPO) … Read More
The Texas Exclusions Database simplifies applicant screening for Medicaid providers, offering the ability to better protect their patients with real-time verification of potential employees before they are hired. Texas Health and Human Services (HHS) Office of Inspector General (OIG) protects … Read More
PADUCAH — A Paducah doctor has agreed to pay $561,800 after federal prosecutors say he knowingly submitted or conspired to submit more than $3 million in false claims to Medicare. Prosecutors say he received kickbacks from a firm in exchange … Read More
Oklahoma is getting back $3.8 million in Medicaid fraud money recovered under a federal investigation into prescription drug prices, as several states begin to look more closely at how managed care administrators bill for pharmaceuticals. Attorney General John O’Connor announced … Read More
Dental offices lost 1,500 jobs between February and March 2022,1 underscoring the reality that no health-care sector is immune to the Great Resignation. And while most dental practices say they’re managing, more than 90% of dentists recruiting dental hygienists say … Read More
FRIDAY, June 17, 2022 (HealthDay News) — Rapid access to a patient’s medical records could help dentists provide better care, but that rarely happens, a new study finds. “Oral health practitioners may need to confirm a list of medical considerations; … Read More
New York Attorney General Letitia James today announced that her office recovered $26.8 million from drug manufacturer, Mallinckrodt PLC, and its U.S. subsidiary Mallinckrodt ARD, LLC (Mallinckrodt), for cheating Medicaid requirements that help offset rising drug prices. For years, Mallinckrodt … Read More
The South Dakota Office of the South Dakota Attorney General has joined with 49 other states, the District of Columbia, Puerto Rico, and the federal government to settle allegations of fraud against Mallinckrodt ARD, LLC (formerly known as Questcor Pharmaceuticals, … Read More
TOPEKA, Kan. (WIBW) – About $1.28 million is headed to Kansas taxpayers following a settlement with a global pharmaceutical company over alleged Medicaid fraud. Kansas Attorney General Derek Schmidt says on Friday, June 17, that there has been a settlement … Read More
PENSACOLA, Fla. — One of the former employees of the Pensacola dentist charged for allegedly inappropriately touching patients and staff spoke publicly for the first time about attempts she claims to have made to hold him accountable. Dr. Charles Stamitoles … Read More
MINNEAPOLIS, Minn. – Twenty-six individuals across seven metro chiropractic clinics have been charged for their roles in a multi-million dollar health care insurance fraud scheme. Of those charged, 24 individuals have either pleaded guilty or been found guilty following a … Read More
The Massachusetts State Ethics Commission has fined a former MassHealth director $6,000 for soliciting and receiving free Red Sox tickets from a state contractor she regularly worked with. The Ethics Commission said in a news release that Stacia Castro, a … Read More
A Florida man accused of orchestrating a multi-million-dollar health care scam tried to flee on a jet ski, according to prosecutors. Ernesto Cruz Graveran, 54, was arrested in Key West, where he planned to ride his jet ski to Cuba, … Read More
KATY, Texas – A woman from Katy was indicted after the U.S. Attorney’s Office says she used her therapist ex-husband’s Medicaid provider number to defraud more than $600,000 worth of unprovided counseling services as well as steal patient information. Kay … Read More
After our article about the need for a review of Medicaid dental fees was published in May, we received a number of comments from dentists about how the lack of a fee increase is impeding service to their clients and … Read More
Attorney General Ken Paxton resolved an enforcement action against pharmaceutical manufacturer Dr. Reddy’s Laboratories (DRL) for reporting inflated drug prices to the Texas Medicaid program. DRL will pay $12.9 million to settle the claims against it. This settlement is the … Read More
OKLAHOMA CITY (KOKH) — Oklahoma Attorney General John O’Connor announced a settlement on Friday with Tri-State Medical Supplies, a former Oklahoma-based company. O’Connor said the company agreed to resolve allegations that it violated the Oklahoma Medicaid False Claims Act by … Read More
BUFFALO – A Dansville physician has agreed to pay more than $600,000 to resolve allegations that during a five-year period he fraudulently billed Medicare and Medicaid, according to the U.S. Attorney for the Western District of New York. Dr. James … Read More
The state of Iowa has revoked the license of a nurse convicted of conspiring to steal $5 million from the taxpayer-funded Medicare program. According to state records, Mark Hill, 55, who currently lives in Laurel, Mississippi, was first licensed to … Read More
A previously convicted Northridge doctor will pay more than $9.48 million to settle allegations that he submitted false claims to the Medicare and Medi-Cal programs, state Attorney General Rob Bonta announced Friday, Dr. Minas Kochumian allegedly billed the health insurance … Read More
MANDAN, N.D. (KXNET) — Rebecca Anderson, of Mandan, has been ordered to pay $75,904.95 in restitution to the State of North Dakota. Anderson pleaded guilty to Medicaid fraud, a class B felony in state District Court in November 2021. KX … Read More
COLUMBIA, S.C. (WPDE) — A Medicaid Recipient Fraud Unit recently recovered just under $125,000 in fraudulently obtained Medicaid benefits from two people in South Carolina. One person is from the Charleston County area and the second person is in the … Read More
BURLINGTON, Vt. (WCAX) – Scammers are targeting your teeth. The Better Business Bureau reports it has seen an uptick in reports of fraud surrounding common cosmetic procedures like teeth whitening, Invisalign, veneers and other treatments. The BBB says often people … Read More
TDMR has learned that a number of Medicaid dentists around the state have been receiving informal letters from the Office of Inspector General about their billings. Avoid formal process Apparently, OIG is looking to resolve billing situations informally rather than … Read More
BOSTON – A statewide grand jury has indicted Four independent clinical laboratories, two laboratory marketing companies in connection with over $2 million in false Medicare claims to Massachusetts, according to Attorney General Maura Healey’s office. The indicted defendants are: Vipin … Read More
Citizens may file whistleblower complaints or qui tam actions against violators (persons or companies) through a variety of mechanisms. The two most common mechanisms for complaint filing in the dental industry are workers via the US Department of Labor especially … Read More
A retired La Jolla dentist who pleaded guilty to federal charges in connection with a charity fraud and tax evasion scheme involving former Chabad of Poway Rabbi Yisroel Goldstein was sentenced Monday to 15 months in custody. Bruce Baker, 75, … Read More
Joshua Maywalt, 42, Tampa, has been sentenced to five years and five months in federal prison for healthcare fraud, aggravated identity theft, filing a false income tax return, and failing to file an income tax return. As part of his … Read More
June 2, 2022 — The U.S. Department of Justice (DOJ) said this week that Caris Life Sciences has agreed to pay almost $2.9 million to resolve allegations that it violated the False Claims Act in an alleged nationwide scheme to … Read More
Benevis, a leading dental support organization (DSO) for practices focused on pediatric dental care and orthodontics, sponsored free dental care for 206 children and adults during its annual Sharing Smiles Day event. Sharing Smiles Day, held on May 22, 2022, … Read More
Three owners and operators of four orthotic brace suppliers were convicted of conspiracy to defraud the United States and for offering and paying illegal kickbacks. The three defendants face up to 55 years in prison each for their roles in … Read More
A Cranberry Township woman and her two Pittsburgh relatives pleaded guilty in federal court to defrauding the Pennsylvania Medicaid program for nearly eight years, resulting in the collection of $87 million in illegal Medicaid payments. According to a news release … Read More
LINDEN – A 39-year-old city woman has been charged with stealing $350,000 in Medicaid funds over a four-year period. Leslie K. Lessen was charged May 23 with one count of theft, a second-degree crime, and two counts of a tampering … Read More
MISSOULA, Mont. — Senior Medicare Patrol is helping to fight against fraud for its first-ever Medicare Fraud Prevention Week starting June 5 through 11. Medicare loses around $60 billion through fraud every year. And it also creates negative impacts on … Read More
