The OIG Benefits Program Integrity team worked with the Social Security Administration to resolve a Smith County case involving a client who failed to report several properties she owned when filing Medicaid and Supplemental Security Income applications for her child. … Read More
HCA Healthcare currently operates more than 1,800 health care facilities in 21 states and is continuing to expand, acquiring both smaller and larger health systems. Its focus is on expanding its roster of physicians as well as outpatient network. HCA … Read More
A federal judge sentenced two physicians in the Novus Healthcare Services hospice fraud case to 23 years and prison and ordered them to pay more than $44 million in restitution. A nurse who was also part of the $40 million … Read More
ust before assaulting the U.S. Capitol on January 6, 2021, rioters attending the Trump rally near the White House heard these stirring words: “What we have in President Trump is a fighter. We will not quit fighting. We’re Texans, we’re … Read More
PHOENIX (3TV/CBS 5) — Dental implants are marketed with the promise to change your smile and provide a new sense of self-confidence, but as implants surge in popularity, so do injuries. Last year alone, reports of problems with dental implants … Read More
CHARLOTTE — Members of the North Carolina State Board of Dental Examiners are weighing proposed changes to rules surrounding anesthesia during dental procedures. n a public hearing Thursday, the North Carolina State Board of Dental Examiners heard arguments on both … Read More
A former Wilkinsburg doctor avoided prison Friday when a federal judge sentenced him to probation for prescribing oxycodone to a doctor-shopping patient for no medical reason and ripping off Medicare. U.S. District Judge Nora Barry Fischer imposed a probation term … Read More
RANSTON, R.I. (WJAR) — A Cranston-based dentist is taking Rhode Island state officials to court, saying their actions barring him from caring for his patients are unconstitutional. Dr. Stephen Skoly, an oral and maxillofacial surgeon, last practiced on Oct. 1, … Read More
A trio of “self-taught” dentists in Texas have been treating patients out of a filthy Houston office over the past year, lacking any formal training other than having once worked at a dental lab, police allege. According to court documents, … Read More
HOUSTON, Texas (KTRK) — A father and son have been arrested and charged with practicing dentistry without a license in an office in northwest Houston. Byron Alberto Zelaya, 58, and his son, 31-year-old Bryant Jesus Zelaya, are charged with felony … Read More
WAYNESVILLE, Mo. (AP) — A Missouri residential treatment facility for children has agreed to pay a $500,000 settlement for submitting false Medicaid claims, the Missouri Attorney General’s office said Wednesday. Piney Ridge Center, in Waynesville, entered a civil settlement in … Read More
HHS is making $19.2 million available to support and expand training of primary care physician and dental residents in rural and underserved areas. The American Rescue Plan funding will support the equivalent of about 120 full-time resident positions, the department … Read More
New reports are finding that visiting a “dental fear clinic” can help children who are afraid of the dentist. Fear of the dentist is something that is very common among adults and youth, and it can have some devastating results. … Read More
On Thursday, January 13, 2022, the Supreme Court of the United States issued its opinions in each of the Centers for Medicare and Medicaid Services (CMS) and Occupational Safety and Health Administration (OSHA) vaccination requirement cases in Biden v. Missouri … Read More
Indiana Attorney General Todd Rokita took a state-paid trip to the U.S-Mexican border last week and attended a Donald Trump rally along the way. Rokita’s office confirmed the trip was being paid for with official funds and that he drove, … Read More
Just before assaulting the U.S. Capitol on January 6, 2021, rioters attending the Trump rally near the White House heard these stirring words: “What we have in President Trump is a fighter. We will not quit fighting. We’re Texans, we’re … Read More
MILWAUKEE (CBS 58) — The Health Mart Independent Pharmacy of the year, Hayat Pharmacy, has settled out of court over allegations of Medicare and Medicaid fraud for over $2 million. Hashim Zaibak, Hayat pharmacist and CEO of the company, said … Read More
Boston, MA, Jan. 27, 2022 (GLOBE NEWSWIRE) — DentaQuest, the leading oral health care company managing dental and vision benefits for more than 33 million Americans, has received a score of 95 out of 100 on the Human Rights Campaign … Read More
CHICAGO — A Tinley Park Chicago dentist fraudulently obtained $1.2 million in medical care loans for purported dental work that was never performed, according to a federal fraud charge. Michael D. Egan, 58, of Orland Park, Ill., is charged with … Read More
The Texas House Democratic Caucus (HDC) has thrown in the towel on a stand-off between the State of Texas and the Biden administration over a Medicaid program. Back in April last year, the Centers for Medicare & Medicaid Services (CMS) … Read More
January 27, 2022 The OIG’s Provider Investigations unit (PI) completed 451 preliminary investigations and 35 full-scale investigations in the first quarter of fiscal year 2022. PI investigates and reviews allegations of fraud, waste and abuse involving Medicaid providers. Based on … Read More
WYOMING COUNTY, N.Y. (WHEC) — A Wyoming County optician was convicted of Medicaid fraud for submitting false claims for services he never provided—some of which were for people who had already passed away. Thomas Foote, 59, was arrested and charged … Read More
BOLTON, Miss. (WLBT) – A federal judge sentenced a Mississippi pharmacist to five years in prison for a multimillion-dollar scheme to defraud TRICARE and private insurance companies. David “Jason” Rutland, 42, of Bolton, pleaded guilty to getting paid kickbacks to … Read More
According to the report, the state investigated 3,682 cases of potential fraud in Fiscal Year 2020-21. Florida recovered more than $22 million in civil and criminal penalties stemming from Medicaid fraud and abuse in Fiscal Year 2020-21. The state also … Read More
Attorney General Ken Paxton has not disclosed a large chunk of his campaign donors from the past six months, a week after he was required to report them to the Texas Ethics Commission. Paxton, who is in a hotly contested … Read More
A pandemic-era policy under the Trump and Biden administrations has led to a sharp increase in the number of Texans now covered under Medicaid. The number of Texans covered by the program — which provides health care to people with … Read More
NEWARK, N.J. – Federal officials on Friday said they had arrested a nursing home chain owner accused of defrauding the state of Arkansas of more than $3.5 million on separate tax charges. U.S. Attorney Philip R. Sellinger announced that 62-year-old … Read More
Buffalo, N.Y. — The University at Buffalo School of Dental Medicine announced Dec. 14 it received a $735,000 grant from to help increase the delivery of critical dental treatment to people with intellectual and developmental disabilities in Western New York. … Read More
A Dearborn Heights pharmacist was sentenced to more than six years in prison for defrauding health care insurers out of nearly $10 million with fake claims, federal officials said. Mohamad Ali Makki, 46, received the sentence in federal court Thursday, … Read More
NASHVILLE, Tenn.–(BUSINESS WIRE)–HCA Healthcare, Inc. (NYSE: HCA) today announced that the HCA Healthcare Foundation, through its Healthier Tomorrow Fund, will donate $1.35 million over the next three years to Educate Texas, an initiative of Communities Foundation of Texas. The grant … Read More
The Nebraska Attorney General’s Office has accused a New York couple of carrying out a $59.6 million Medicaid fraud involving the ownership of a chain of nursing homes in Nebraska. In the complaint filed in Lancaster County District Court, Joseph … Read More
BOSTON, Mass. (Office of the Attorney General)-Attorney General Maura Healey announced that her office’s Medicaid Fraud Division recovered more than $55 million in calendar year 2021. The AG’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state’s Medicaid … Read More
The Biden administration’s vaccine mandate for health workers is now enforceable across the U.S. after a federal court Wednesday dismissed a lawsuit filed by Texas, the only state that didn’t have to comply following a U.S. Supreme Court decision. Texas … Read More
exas Attorney General Ken Paxton has tested positive for COVID-19, his office said Wednesday. The communications staff at the attorney general’s office told The Texas Tribune in an unsigned statement that Paxton had tested positive. “He remains working diligently for … Read More
MINNEAPOLIS — A Minnesota woman has entered guilty pleas in a case stemming from a scheme that defrauded a state medical assistance program out of more than $860,000, Attorney General Keith Ellison announced Tuesday, Jan. 18. The Medicaid Fraud Unit … Read More
INDIANAPOLIS — Indiana recovered more than $300,000 after a 14-year battle against a pharmaceutical company accused of taking part in a kickback scheme. The recovery comes as the U.S. Court of Appeals partially reversed a dismissal of litigation against PharMerica. … Read More
To date, 39 states (including DC) have adopted the Medicaid expansion and 12 states have not adopted the expansion. Current status for each state is based on KFF tracking and analysis of state expansion activity. These data are available in … Read More
We made it through another year and now 2022 is here! While we all hoped and prayed that COVID would be behind us, I am hopeful that 2022 will be a year of cautious “normalcy.” After two years of the … Read More
WILMINGTON, N.C. A North Carolina woman has pleaded guilty to conspiring with the owner of a pharmacy and others to bill fraudulent claims to Medicare, Medicaid, and private health insurers, a federal prosecutor says. Michael Easley, U.S. Attorney for the … Read More
AUSTIN -On behalf of the State of Texas, Attorney General Paxton has sued Planned Parenthood Federation of America and several Planned Parenthood locations in Texas, seeking recovery of $10 million in payments made by the Texas Medicaid program. The lawsuit … Read More
