A civil healthcare fraud lawsuit against 11 New York-based skilled nursing facilities alleges that they fraudulently inflated Medicare reimbursements by prolonging patient stays without regard to patients’ medical needs. The suit also alleges these facilities billed for excessive rehabilitation therapy … Read More
HARRISBURG, Pa. — A Harrisburg woman and her Lancaster brother-in-law have been charged with four felony counts of Medicaid fraud and one felony count of theft by deception after allegedly submitting fraudulent timesheets to Medical Assistance for more than $95,000. … Read More
The United States Department of Justice (DOJ) recently charged 14 people for engaging in alleged healthcare fraud schemes related to the COVID-19 pandemic, resulting in more than $143 million in false billings. The charges implicate a telemedicine company executive, physician, … Read More
On Tuesday, Texas HHS OIG sent out its June email newsletter. Out of the three articles promoted, one is again about dental Medicaid issues. This time the article is about common billing errors committed by Medicaid dentists, an article that … Read More
McALLEN, TX — A compound pharmacy owner, three marketers, a referring physician and two clinic office staff have been taken into custody in connection with a multi-million dollar health care fraud and kickback scheme, announced Acting U.S. Attorney Jennifer B. … Read More
BALTIMORE, Md. – Maryland Attorney General Brian E. Frosh announced today that Vitalis Ohakwe Ojiegbe, 66, of Bowie, was charged in the Circuit Court for Prince George’s County with one count of Medicaid Fraud and 32 counts of Distribution of … Read More
A jury has found two medical directors and one nurse from Dallas-based Novus Health guilty of conspiracy to commit health care fraud in a scheme that bilked close to $40 million from Medicare. The U.S. Department of Justice accused Mark … Read More
This past week the Attorney General of Texas sent out a press release that deemed agency personnel who had complained about potential conflicts of interest by the AG himself were “rogue political appointees” rather than whistleblowers because they had only … Read More
A state agency has received a complaint from a Fort Worth woman who says she was shown out a door while still groggy and she passed out on the parking lot of a North Richland Hills dental clinic after having … Read More
LOWELL — An orthodontist with an office in Lowell is being sued by Attorney General Maura Healey for allegedly illegally charging MassHealth patients for missed or cancelled appointments, officials announced on Thursday. Healey’s office filed the new claims against Dr. … Read More
According to the indictment and a previously filed complaint, Mozeb is a co-owner of Great Lake Transportation, a non-emergency medical transportation provider for local Medicaid recipients. Great Lake, which has been in operation since August 2016, has a fleet of … Read More
Billy Joe Taylor, a previously unknown poker player, has fast become a star on TCH Live, a poker livestream of high-stakes cash game sessions from the Texas Card House (TCH) in Dallas. The Arkansas player has left a mark among … Read More
Three Texas physician practices settled billing fraud allegations related to neurostimulator devices, according to a June 10 Justice Department statement. Harker Heights-based Ledger Foot & Ankle, Round Rock-based Superior Physical Medicine, and San Antonio-based Precision Spine and Pain Management are … Read More
Dr. Brian James August, 60, of El Paso, Texas, faces opioid overdose and fraud charges for allegedly prescribing addictive medications to “patients for more than six years, which resulted in the deaths of five people,” according to court records. Prescriptions … Read More
DALLAS (AP) — The Texas bar association is investigating whether state Attorney General Ken Paxton’s failed efforts to overturn the 2020 presidential election based on bogus claims of fraud amounted to professional misconduct. The State Bar of Texas initially declined … Read More
Adam Gallardo Arredondo, 59, of Waxahachie, Texas, pleaded guilty Monday to illegal remuneration for health care referrals. Arredondo admitted that he solicited and received checks from OK Compounding, a Tulsa pharmacy, in exchange for referring his patients’ compounding prescriptions. The … Read More
A California man pleaded guilty today to conspiracy to commit health care fraud. According to court documents, Keyvan Amirikhorheh, M.D, 61, of Seal Beach, worked as a physician at Los Angeles Community Clinic. Together with his co-defendants, Amirikhorheh defrauded the … Read More
HOUSTON – A 46-year-old chiropractor and her medical group have agreed to pay in order to resolve allegations of fraudulent billing, announced Acting U.S. Attorney Jennifer B. Lowery. Suhyun An owns and manages Campbell Medical Group PLLC and Johnson Medical … Read More
