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Government report concludes money sent to unchecked addresses and PO boxes. VIDEO Source: Investigation Reveals $60 Billion Lost in Medicare Fraud Video – ABC News

NEW YORK (AP) >> The owner of a Brooklyn medical supply business was sentenced to up to 21 years in prison in a Medicaid fraud scheme. Source: Medicaid scammer draws 7-21 years in prison

Alabama’s Medicaid fraud investigation unit collected hundreds of thousands of dollars from the trust fund accounts of dead nursing home and foster care residents until federal inspectors in 2012 told them to stop, a federal report shows. Source: Inspectors: Medicaid … Read More

Doctors with independent primary care practices in Texas are increasingly being courted by private equity firms looking for investments, and offering leverage in the consolidating health care industry. Some doctors fear losing their independence, but others say it’s a market … Read More

July 14, 2015 — U.S. Sen. Charles Grassley (R-IA) has sent letters to key government agencies, asking how many criminal and civil cases have been brought against dentists suspected of fraudulent treatment and billing practices involving Medicaid patients. “Some dentists … Read More

(Reuters) – A federal judge on Friday sentenced a Detroit-area doctor who admitted performing unnecessary procedures on hundreds of cancer patients to 45 years in prison, prosecutors said. Dr. Farid Fata, 50, who pleaded guilty in September to more than … Read More

HOUSTON—Six Houstonians have been arrested on wide-ranging charges involving a $12 million conspiracy to commit health care fraud and to pay kickbacks, announced U.S. Attorney Kenneth Magidson. The arrests were made in conjunction with a search warrant executed at a … Read More

Six Houstonians are in custody on wide-ranging charges involving a $12 million conspiracy to commit healthcare fraud and to pay kickbacks, announced U.S. Attorney Kenneth Magidson. The arrests were made in conjunction with a search warrant executed at a downtown … Read More

NEW YORK (Reuters) – Walgreen Co has reached a $22.4 million settlement with the New York attorney general resolving claims that a unit improperly billed the government for reimbursement for a pediatric drug. The settlement, disclosed in court papers filed … Read More

Washington, DC–(ENEWSPF)–July 6, 2015. AstraZeneca LP has agreed to pay the United States and participating states a total of $46.5 million, plus interest, to resolve allegations that it knowingly underpaid rebates owed under the Medicaid Drug Rebate Program, the Justice … Read More

The U.S. Department of Health and Human Services inspector general is asking a Maryland state health agency to refund $34.2 million in federal dollars it received for a waiver program that the watchdog said was wrongly applied, it said in … Read More

The U.S. Department of Health and Human Services Office of Inspector General has created a new team of attorneys focused solely on litigation involving Medicare and Medicaid fraud. The new team was announced at the American Health Lawyers Association’s annual … Read More

Thirty people have been charged with Welfare Fraud for illegally obtaining over $324,000 in public assistance benefits administered through the Orange County Department of Social Services—mostly Medicaid.The enforcement action was the result of the collaborative efforts of the Orange County … Read More

A number of states still do not report required quarterly data about services provided to Medicaid beneficiaries enrolled in managed care—information that’s crucial to running Medicaid and protecting it from fraudsters, according to a study HHS’ Office of Inspector General … Read More

The Office of the Inspector General at HHS announced Tuesday the creation of a new litigation team that will concentrate on identifying and fining Medicare and Medicaid fraud. The team’s creation is intended to put further pressure on physicians, drugmakers … Read More

WASHINGTON, DC – House Energy and Commerce Committee Chairman Fred Upton (R-MI) and Oversight and Investigations Subcommittee Chairman Tim Murphy (R-PA) today sent a letter to Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt in their continued oversight … Read More

On Tuesday, representatives from the United States Department of Health and Human Services Office of Inspector General (OIG) announced the creation of an OIG litigation team that will focus specifically on civil monetary penalties and exclusion cases. The announcement was … Read More

Walgreen Co will pay $2.55 million to settle charges by New York’s attorney general that a pharmacy unit improperly billed Medicaid for costly drugs to treat hemophilia patients, without proof that it actually delivered the drugs to those patients. Attorney … Read More

Attorney General Joseph A. Foster announced on June 25, 2015, that the Medicaid Fraud Control Unit (MFCU) of the Department of Justice had reached a settlement with Dr. Eyad Almahayni, DMD, to resolve allegations about his dental practice, according to a … Read More

An investigation by state Inspector General Catherine Leahy Scott found that a former top official with the state Office of the Medicaid Inspector General improperly accepted gifts, including air travel and a job offer, from a Texas corporation that has a … Read More

The federal government is calling McAllen a hotspot for potential Medicare fraud and abuse. The Department of Health and Human Service Office of Inspector General released a report today detailing the growing problem. Source: HHS OIG: McAllen a Medical Fraud … Read More

DALLAS The case of a troubled Texas hospital system shows how a federal, $24 billion stimulus program that distributes funds to help computerize health-care records has been vulnerable to fraud. It also highlights the challenges in recouping the money that … Read More

On June 9, 2015, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued a Fraud Alert focused on compensation arrangements paid to physicians. See, “Physician Compensation Arrangements May Result in Significant Liability” [link:https://oig.hhs.gov/compliance/alerts/guidance/Fraud_Alert_Physician_Compensation_06092015.pdf]. The Fraud … Read More

Joe White didn’t use elaborate methods to bilk a federal stimulus program: He simply lied on application forms. But getting back the nearly $18 million in tax money that the feds plowed into the rural Texas hospital chain he managed … Read More

DALLAS—Attorney General Loretta E Lynch and Department of Health and Human Services (HHS) Secretary Sylvia Mathews Burwell announced today a nationwide sweep led by the Medicare Fraud Strike Force in 17 districts, resulting in charges against 243 individuals, including 46 … Read More

NEW YORK – Attorney General Eric T. Schneiderman today announced a settlement with Aspen Dental Management, Inc., an East Syracuse-based company that provides business support and administrative services to seven independently owned dental practices that maintain 40 offices in New … Read More

The U.S. Justice Department charged 243 people, including 46 doctors, nurses and other medical professionals, with defrauding the Medicare system of $712 million through false billing. Attorney General Loretta Lynch announced the charges Thursday in Washington, calling the case the … Read More

In 2012, Connecticut filed a civil lawsuit against nearly 30 players in an elaborate scheme to defraud Medicaid. The state has since recovered millions of dollars in settlement funds and a number of dental offices have been shuttered. Dentists have … Read More

TYLER, Texas – The former Chief Financial Officer of Shelby Regional Medical Center has been sentenced to federal prison in the Eastern District of Texas, announced U.S. Attorney John M. Bales today. Joe White, 68, of Cameron, Texas, pleaded guilty … Read More

McALLEN — Federal agents Tuesday arrested the owner and an employee at a defunct Mission-based durable medical equipment supplier, accusing them of overbilling the government for unnecessary adult diapers. A federal grand jury this month indicted Veronica Vela and Cynthia … Read More

Two House committees have requested a review of the Centers for Medicare & Medicaid Services’ Fraud Prevention System, according to a letter sent to the Government Accountability Office. Bipartisan leaders on the House Energy and Commerce and House Ways and … Read More

WESLACO -Several Medicare busts are happening across the Valley. Four investigations are coming to a close. Court documents were filed a week ago and unsealed today. All four separate indictments have different charges all dealing with medical fraud Source: Several … Read More

A new fraud alert released by the Office of the Inspector General highlights the agency’s renewed interest in physician compensation arrangements that could violate anti-kickback regulations if payments do not reflect fair market value. Source: OIG fraud alert targets physician compensation agreements

Most Medicaid payments Texas made to providers for full vials of Herceptin from 2010 through 2012 were incorrect and resulted in overpayments of approximately $566,000 (Federal share). Copies can also be obtained by contacting the Office of Public Affairs at … Read More

An inspector general’s fraud alert on Tuesday warned referring physicians of fines and prison time that can result from accepting kickbacks disguised as medical directorships, the latest sign of rising interest in punishing individual doctors instead of just corporations for … Read More

Texas owes the U.S. government $133 million for unallowable orthodontic Medicaid treatments from 2008 to 2010, according to a new report by the Office of Inspector General (OIG). Many of the claims were improperly approved because they did not have … Read More

The United States Attorney`s Office for the Northern District of Georgia announced that it has reached a settlement with Dennis Jaffe and Dennis B. Jaffe D.M.D., P.C., to pay $324,327.05 to settle health fraud claims — specifically that Jaffe violated … Read More

Connecticut will recover nearly $300,000 from another batch of dentists and their practices accused of committing Medicaid fraud, state investigators say. Source: Trio settles CT Medicaid fraud suit

HOUSTON — Texas should repay at least $133 million in Medicaid funding misspent on unnecessary dental and orthodontic procedures, according to a federal audit. Source: Feds say Texas should repay $133 million in Medicaid funds misspent on dental care | … Read More

ATLANTA, Ga. (WJCL) — An Atlanta-based dentist has pleaded guilty to criminal charges and settled with the Attorney General’s office for more than $324,000.Attorney General Sam Olens announced Friday the conclusion of a multi-part investigation into Dr. Dennis B. Jaffe’s … Read More