Across the country, there is a growing push for states to expand their Medicaid programs to include dental care coverage, a trend that is being applauded by dental care experts nationwide. “I think sometimes dentistry looks to be on the … Read More
A St. James man was convicted Wednesday in federal court in Central Islip in a $600 million healthcare fraud scheme. Following a six-week trial, a jury found Mathew James guilty on eight counts of charges in a scheme that impersonating … Read More
A Paramount woman faces sentencing Thursday for her role in a healthcare fraud scheme that billed Medicare over $24 million for medically unnecessary power wheelchairs and the repair of medical equipment. Cynthia Marquez, 47, pleaded guilty in December 2019 to … Read More
HOUSTON – A 43-year-old health care marketer has been indicted in a conspiracy to pay and receive health care kickbacks, announced U.S. Attorney Jennifer B. Lowery. Authorities took Patrick Osemwengie, Richmond, into custody today. He is expected to make his … Read More
WASHINGTON and BOSTON, Mass., July 13, 2022 /PRNewswire/ — Medicaid | Medicare | CHIP Services Dental Association (MSDA) today announced the first-ever national Medicaid Artificial Intelligence (AI) dental program initiative, introducing as its inaugural partner Overjet, the leader in dental … Read More
An Oakland County physician is convicted in federal court on 30 charges related to the unlawful distribution of controlled and healthcare fraud. According to the U.S. Attorney’s Office, the charges against Bingham Farms Dr. David Jankowski, 62, stem from his … Read More
To find fraud, follow the money,” says Dr. Jacob Kuriyan, President of Physmark, Inc. and Care Maps, Inc. In his presentation at the 2022 Fraud and Forensic Accounting Conference E.J. Ourso College of Business, Louisiana State University, Baton Rouge, the … Read More
Everything is bigger in Texas, and SmileCon 2022 in Houston will be no exception. From Opening and Closing Sessions that recognize dentists’ accomplishments and explore the future of dentistry to a street festival highlighting the culture of Houston, SmileCon will … Read More
FERRIS, Texas – A small city south of Dallas is aiming to provide free basic health care to everyone who lives there. The city of Ferris is hosting a clinic with free dental services Friday and Saturday. It’s called Operation … Read More
A federal jury in New York today convicted a man of defrauding Medicare and Medicaid by facilitating the submission of false and fraudulent claims for surgical operations that were never done. According to court filings and evidence produced at trial, … Read More
The United States Court for the Eastern District of North Carolina is continuing garnishment proceedings in the case of a woman who bilked the North Carolina Medicaid system out of millions of dollars through sham home health care operations in … Read More
RICHMOND, Va. — The newly enacted Virginia budget will boost the reimbursement rate to providers of Medicaid dental services by 30%, a move advocates say will help expand the number of providers. This year’s increase marks the first time since … Read More
Two residents of Pittsburgh and a resident of Georgia were sentenced on June 29, 2022, in federal court for conspiracy to defraud the Pennsylvania Medicaid program and related offenses, United States Attorney Cindy K. Chung announced. During sentencing hearings on … Read More
Medicare could have saved $3.6 billion in a single year if it had bought generic drugs from Mark Cuban’s online pharmacy, according to a Harvard University report. In the report, published this week in Annals of Internal Medicine, researchers from … Read More
NUECES COUNTY, Tx. (June 30, 2022) – Approximately 1,400 of members of the public received dental care including teeth extractions, cleanings, and x-rays at no cost in Nueces County, Texas as part of an Innovative Readiness Training (IRT) program. Nueces … Read More
PITTSBURGH, Pa. – Two residents of Pittsburgh and a resident of Georgia were sentenced in federal court for conspiracy to defraud the Pennsylvania Medicaid program and related offenses, United States Attorney Cindy K. Chung announced today. During sentencing hearings on … Read More
ORANGE, Calif., June 29, 2022 (GLOBE NEWSWIRE) — Alignment Healthcare (NASDAQ: ALHC), a tech-enabled Medicare Advantage company, today announced the expansion of its award-winning plans into two new states, Florida and Texas – and into additional counties within the four … Read More
A federal trial jury on Tuesday convicted Missouri state Rep. Tricia Derges of multiple fraud charges, including making false claims about fake stem cell treatments at her medical clinics in southwest Missouri. Bookending a two-week trial in Springfield, Derges, a … Read More
When the coronavirus pandemic emerged in March 2020, the U.S. government issued a requirement that states could no longer kick people off Medicaid during the public health emergency. The purpose was to prevent people on Medicaid—a government-run health care policy—from … Read More
Fifteen additional Texas doctors have agreed to pay a total of $2.83 million to resolve False Claims Act allegations involving illegal kickbacks in violation of the Anti-Kickback Statute and Stark Law, and to cooperate with the Department of Justice’s investigations … Read More
A woman was arrested at South Padre Island on Friday in connection with a healthcare fraud scheme, according to court records and the U.S. Attorney’s Office Southern District of Texas. In a superseding indictment returned June 21, 56-year-old Nora Alaniz … Read More
oston, MA, June 27, 2022 (GLOBE NEWSWIRE) — DentaQuest announced today that Kamila Chytil, COO and executive vice president, and Roxanne Martinez, CHRO and executive vice president, have been named to Profiles in Diversity Journal’s 2022 Women Worth Watching in … Read More
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
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
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
