A Coral Springs company has agreed to pay $3.15 million in settlement money to resolve allegations it submitted false Medicare claims to the government after a whistleblower revealed the alleged lawbreaking, prosecutors said. VirtuOx, Inc, which operates Medicare-approved diagnostic testing … Read More
HARRISBURG (PRESS RELEASE) —Attorney General Josh Shapiro announced Southwest Nu-Stop Philadelphia Inc. (Southwest), a Philadelphia-based drug and alcohol treatment facility, and its owner Dr. Lloyd Reid pleaded guilty to Medicaid fraud for paying illegal kickbacks to recovery homes in Philadelphia. … Read More
ATLANTA — The U.S. Attorney in Atlanta announced Friday that ex-Georgia insurance commissioner John Oxendine has been indicted on federal healthcare fraud and money laundering charges. Oxendine was the state’s insurance commissioner from 1995 to 2011, leaving office after a … Read More
DENTON, Texas — The City of Denton passed a resolution Wednesday in favor of Medicare for All, becoming the 100th local government nationwide to endorse the system at a federal level. Denton’s resolution comes days after after the reintroduction of … Read More
The state police made him do it. That’s the excuse Texas Attorney General Ken Paxton gives on his Texas ethics disclosures in place of revealing, as required by law, the addresses of properties he owns in Austin and College Station. … Read More
HOUSTON – Five men accused in a health care fraud scheme involving local pharmacies and a pain clinic are set to make their appearances in Houston federal court, U.S. Attorney Jennifer B. Lowery announced Monday. Charles Willis, 57, appeared for … Read More
AUSTIN (KXAN) — A Texas Health and Human Services director is accused of insurance fraud related to a car fire in March, according to an arrest warrant. The Travis County arrest warrant for Jerrod Wytez Holton was issued May 13, … Read More
SPRING BRANCH — On the first day of early voting for his Republican primary runoff, Attorney General Ken Paxton spoke to a crowd of supporters where he barely acknowledged the contest and totally ignored his well-known challenger, Land Commissioner George … Read More
A federal jury in Dallas, Texas, convicted the owners and operators of four orthotic brace suppliers in Texas and Arkansas today for a $6.5 million illegal kickback scheme, including violations of the federal Anti-Kickback Statute. According to court documents and … Read More
A $5 million healthcare scam run of medical clinics in Miramar and West Miami-Dade ended last week with a 21-year-old office employee sentenced to restitution and prosecutors trying to find the man who got the longest prison sentence. Between those … Read More
The OIG continues to broaden its use of data analysis to help uncover fraud, waste and abuse (FWA) trends in the health care system by assessing potentially problematic behavior patterns. The OIG’s Data Initiative Project Team (DIPT) is using data … Read More
The United States Department of Justice settled a case against a California-based behavioral health provider. Under the terms of the settlement, Prism Behavioral Solutions paid $650,000 to resolve allegations of submitting false claims to state and federal healthcare programs. The … Read More
MIAMI, FL – On Tuesday, May 10, 2022, a federal district judge in Miami sentenced the last of 10 defendants for her role in a health care fraud scheme involving three physical therapy clinics that recruited and paid kickbacks to … Read More
FERRIS, Texas — The city of Ferris, southeast of Dallas, has announced a unanimous approval for residents to receive free healthcare. According to city manager Brooks Williams, Ferris is the first city in the state, and the country to do … Read More
Signature HomeNow, a home healthcare company operating in Florida, has reached a $2.1 million settlement to resolve allegations that it violated the False Claims Act and fraudulently billed Medicare for unnecessary home healthcare services. According to the settlement agreement and … Read More
Loyda Triana, a Florida woman, has pled guilty to her role in a Miami health care fraud scheme involving five fraudulent medical supply companies. Triana pled guilty to her role in the scheme that involved at least 15 other individuals. … Read More
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
