GREENBELT, MD — Edward T. Buford III, age 70, of Silver Spring, Maryland, pleaded guilty on May 4, 2022, to conspiracy to commit mail fraud and healthcare fraud. As part of his guilty plea, Buford will be required to pay … Read More
MONTGOMERY — A former DeKalb County resident was arrested for filing false claims totaling $1.2 million with the Alabama Medicaid Agency for speech therapy services for children that were never provided. According to the Attorney General’s Office, Kimberly Huggins Hamilton, … Read More
(Justice Department) Global health care giant GlaxoSmithKline LLC (GSK) agreed to plead guilty and to pay $3 billion to resolve its criminal and civil liability arising from the company’s unlawful promotion of certain prescription drugs, its failure to report certain … Read More
The trial of the CEO of LifeBrite is scheduled to start Monday morning in federal court in Florida. Christian Fletcher, 34, is one of ten defendants charged for their participation in an elaborate pass-through billing scheme using rural hospitals in … Read More
DEKALB COUNTY, Ala. (WHNT) – The former owner of a Fort Payne speech and physical therapy company is being charged with filing false Medicaid claims totaling $1.2 million for therapy services for children that were never provided. Alabama Attorney General … Read More
FORT BEND COUNTY, Texas (KTRK) — A patient of a woman who was arrested for practicing dentistry without a license says he is still suffering. Nasario Munos had dental work in 2021 at a clinic that was inside a home … Read More
An Arlington man has been sentenced to federal prison for his role in a health care fraud scheme in the Eastern District of Texas, announced U.S. Attorney Brit Featherston. Jason Neil Hughes, 48, pleaded guilty Sep. 10, 2021 to healthcare … Read More
TALLAHASSEE, Fla.—Attorney General Ashley Moody’s Medicaid Fraud Control Unit today announced the arrest of an Indian River County resident for Medicaid fraud. Michael Jacob Rothman worked for a home health care agency and provided behavior analyst services to three Medicaid … Read More
The feds earned a clean sweep of the 11 people implicated in a $300 million kickback fraud just two months after the original indictment. The defendants include two medical doctors and other healthcare and marketing professionals. The kickback scheme was … Read More
A video of a Texas dental assistant receiving $20,000 in cash from her employers to mark 20 years on the job went viral as the ultimate example of employee appreciation. Orthodontists Mike Nelson and Ron Risinger of Beaumont, Texas, surprised … Read More
CRESCENT SPRINGS, Ky. — A federal raid resulted in the arrest of a Northern Kentucky dentist on Monday. Federal agents showed up in force at the Tristate Dental Implant in the Buttermilk Crossing Shopping Center in Crescent Springs. Agents visited … Read More
A California doctor was sentenced today to 93 months in prison for defrauding Medicare, re-packaging single-use catheters for re-use on patients, and submitting false declarations in a bankruptcy proceeding. According to court documents, Donald Woo Lee, 55, of Temecula, recruited … Read More
HOUSTON – A local dental clinic operator was taken into custody on charges of tax evasion and failure to pay employment taxes, U.S. Attorney Jennifer B. Lowery announced Tuesday. United States Attorney’s Office – Southern District of Texas said in … Read More
(Reuters) – A former Mississippi pharmacist was sentenced on Tuesday to 10 years in prison for a healthcare fraud that resulted in more than $180 million in false billings being submitted to private insurers and the federal TRICARE program for … Read More
COPPELL, Texas — Dentistry has come a long way since Dr. J. Darrell Steele was studying to be a dentist. In his three decades of practice, the world of dentistry has shifted from a reactive practice to a preventive practice, … Read More
SAN ANTONIO, April 27, 2022 /PRNewswire-PRWeb/ –The National Institutes of Health has awarded a four-year, $2.4 million grant to The University of Texas Health Science Center at San Antonio (UT Health San Antonio), which will work in collaboration with the … Read More
The OIG’s Provider Investigations unit (PI) completed 441 preliminary investigations and 53 full investigations in the second quarter of fiscal year 2022. PI investigates and reviews allegations of fraud, waste and abuse involving Medicaid providers. Based on an investigation’s findings, … Read More
If you’re a parents, guardian, and other active caregiver, you play an essential role in the lives your children and their health each day. In fact, their well-being is probably on your mind each and every day. However, you may … Read More
A Macomb County jury awarded a county man $2.75 million in a medical malpractice lawsuit in which a dental procedure landed the man in the hospital with what his attorney said was a “massive hemorrhage” in his mouth. The jury … Read More
All 11 people charged in a $300 million health care fraud conspiracy in Texas have pleaded guilty to charges including conspiracy, concealing a felony and paying and receiving health care kickbacks, according to the Department of Justice. The 11 defendants … Read More
Louisiana Attorney General Jeff Garland sued UnitedHealth Group over Medicaid fraud. In a lawsuit filed earlier this week, Garland alleged the insurance company overinflated drug charges, costing Louisiana taxpayers billions of dollars. First reported by Bloomberg, the lawsuit was filed … Read More
The U.S. Attorney’s Office for the Eastern District of New York announced Thursday that an orthopedic surgeon had been arrested and charged with healthcare fraud. According to a press release, the surgeon, 56-year-old Dr. Elemer Raffai, is accused of allegedly … Read More
Federal prosecutors on Wednesday announced charges against 21 people for allegedly seeking to defraud government health care programs of $149 million in a variety of pandemic-related scams, including selling fake Covid-19 vaccination cards and submitting claims for unnecessary medical tests. … Read More
A patient had a dentist’s metal drill bit embedded in his lung for four days after accidentally inhaling. Tom Jozsi was forced to undergo a rare medical procedure at the hospital to remove the inch-long drill bit from deep inside … Read More
DOWNERS GROVE, IL — A Westmont woman faces charges of theft and wire fraud after she was accused of getting paid to practice dentistry in Downers Grove without a valid license. Diane Meyer, 61, kept practicing and charging clients after … Read More
A federal jury convicted a Texas couple, Lindell King and Ynedra Diggs, for a $1 million Medicare fraud scheme. The husband and wife owned and operated group homes in which Medicare beneficiaries lived. King and Diggs had an agreement with … Read More
TERRELL, Texas — A Terrell dentist was arrested and charged with online solicitation of a minor, sexual conduct, in connection with an undercover investigation in Collin County, according to authorities. 32-year-old Eliphas Alinyo Osinde of Terrell, Texas, was arrested March … Read More
A medical consulting company owner has been sentenced to two years in federal prison for a $54 million pass-through billing scheme that defrauded health insurers. Steven Berglund, the owner of Elite Medical Consulting, pleaded guilty in Nov. 2021 to conspiracy … Read More
The Texas Board of Dental Examiners (TSBDE) values your opinion and requests your participation in a very brief customer service survey. The information collected will assist our agency in providing the best customer service possible. We invite you to take … Read More
The owner of a Florida addiction treatment facility has been convicted of running a $58 million insurance fraud scheme involving excessive drug testing and paying kickbacks to well-insured patients to come to her center. Carie Lyn Beetle, 44, and a … Read More
Another day, another healthcare grifter bites the dust. On Tuesday, a North Texas healthcare company owner was sentenced to prison over fraud charges, according to a press release issued by the U.S. Department of Justice in North Texas. U.S. Senior … Read More
April 14, 2022. The United States Department of Justice settled a case against a healthcare and hospital system for performing medically unnecessary neurological surgeries and billing federal healthcare programs for them. Under the terms of the settlement, Providence Health & … Read More
The OIG Fraud Hotline handled 5,995 calls and other points of contact in the second quarter of fiscal year 2022. The hotline is an avenue for the public to report suspicious behavior involving a health care provider or client who … Read More
The Justice Department on April 11 filed a complaint in intervention alleging Memphis-based Methodist Le Bonheur Healthcare violated the False Claims Act and the Anti-Kickback Statute. The Justice Department intervened in the whistleblower lawsuit, which was filed in 2017 by … Read More
Tampa, Fla.-based Physician Partners of America will pay $24.5 million to settle several allegations, including that it violated the False Claims Act and made a false statement to obtain a loan through the Small Business Administration’s Paycheck Protection Program. Four … Read More
SPOKANE, Wash. (AP) — Providence Health & Services Washington will pay $22.6 million to resolve allegations that its Walla Walla hospital fraudulently billed Medicare, Medicaid and other federal health care programs for medically unnecessary neurosurgery procedures. Vanessa R. Waldref, U.S. … Read More
The United States Department of Justice settled a False Claims Act Medicaid fraud case against a Florida hospital system. Four Florida hospitals paid $20 million to resolve allegations that they made donations to a county juvenile wellness board to improperly … Read More
A Memphis woman accused of falsely charging TennCare for services she did not provide has been arrested following an investigation by special agents with the Tennessee Bureau of Investigation’s Medicaid Fraud Control Division. In October 2021, TBI agents began an … Read More
The scheme was simple enough. The labs would pay Dr. Eduardo Canova, Dr. Jose Maldonado and nurse practitioner Keith Wichinski. Then the medical professionals would order an unneeded laboratory test from one of the labs. Later, they’d bill the cost … Read More
WASHINGTON, D.C. — A federal jury convicted a Texas husband and wife this week for a $1 million Medicare fraud scheme, including violations of the federal Anti-Kickback Statute. According to court documents and evidence presented at trial, Lindell King, 52, … Read More
