TAMPA, Fla. (CW44 News At 10) – U.S. District Judge Virginia M. Hernandez Covington has sentenced Michael Nolan (48, Tampa) and Richard Epstein (29, Aurora, CO) for their roles in a conspiracy to defraud federal health benefit programs, Medicare and … Read More
November 05, 2021 – The US Attorney’s Office for the Middle District of Pennsylvania announced that Geisinger Community Health Service (GCHS) reached an agreement to pay more than $18.5 million for allegedly violating Medicare billing rules for hospice and home … Read More
A Conway eye doctor’s wife was sentenced to prison and ordered to pay almost $860,000 in restitution and fines after pleading guilty to Medicaid fraud, state Attorney General Leslie Rutledge announced on Thursday. Karen Todd, 53, of Conway, pleaded guilty … Read More
He really put his foot in it. A Mississippi podiatrist has been charged with running a $11 million foot-bath scam, allegedly ripping off Medicare and other health programs by prescribing unnecessary but expensive treatments that didn’t even work, prosecutors said. … Read More
Two Florida brothers who ran anti-addiction clinics were convicted of fraudulently billing their patients $112 million for services that weren’t needed or were never performed, the U.S. Department of Justice (DOJ) said Thursday. Jonathan Markovich, 37, and Daniel Markovich, 33, … Read More
LAVACA, Ark. (AP) — A federal grand jury has indicted a western Arkansas man on health care fraud charges, alleging he made false billings of more than $100 million for drug and COVID-19 testing at laboratories he owns or manages. … Read More
GRAND BLANC, Mich. (WJRT) – A physician from Grand Blanc will spend four years in federal prison and must repay over $8 million after pleading guilty to a complex health care fraud scheme. The U.S. Attorney’s Office in Detroit says … Read More
UnitedHealthcare has filed suit against physician staffing firm TeamHealth, alleging the company upcoded for services to the tune of $100 million. The suit, filed Wednesday in Tennessee federal district court, claims the company purposefully upcoded for tens, if not hundreds, … Read More
In a Press Release issued on October 14 2021 by the Office of Massachusetts Attorney General Maura Healy, a potentially groundbreaking settlement was announced. Below is an excerpt from the release, followed by our takeaways. “In the largest settlement of … Read More
November 4, 2021 – 1:00pm Texas Department of State Health Services, Robert Bernstein Building, Room K-100, First Floor 1100 West 49th Street Austin, TX 78751 Webcasting Available This meeting will be webcast. Members of the public may attend the meeting in person … Read More
WASHINGTON (AP) — Medicaid issues are turning up as winners in President Joe Biden’s social agenda framework even as divisions force Democrats to hit pause on far-reaching improvements to Medicare. The budget blueprint Biden released Thursday would fulfill a campaign … Read More
FRESNO (CBS13) – A man from Kings County was indicted for using the sleep clinic he owned to charge Medicare for $10 million worth of sleep tests that were never actually performed, the Department of Justice said. The 42-year old … Read More
A federal grand jury returned a 50-count indictment charging Dr. Linh Cao Nguyen, 48, of Peoria, with health care fraud, false statements relating to a health care matter, and aggravated identity theft. Nguyen ran a mobile multispecialty medical practice that … Read More
By Melissa Busch, DrBicuspid.com associate editor October 28, 2021 — Medicare will not pay for dental benefits under a new proposed $1.75 trillion U.S. spending plan released on October 28 by the Biden administration, according to news reports. This leaves … Read More
PORTLAND, Ore. (KOIN) — The U.S. Department of Justice has filed a complaint against Kaiser Permanente for fraud. The complaint, obtained by KOIN 6 News, claims members of Kaiser’s healthcare consortium defrauded Medicare through false claims to the tune of … Read More
Thirteen defendants, including three compounding pharmacy owners, three physicians, two pharmacists, and three patient recruiters, pleaded guilty in the Southern District of Texas to a years-long, multi-state scheme to defraud the U.S. Department of Labor’s (DOL) Office of Workers’ Compensation … Read More
Acting United States Attorney Richard. G. Frohling announced on October 27, 2021 that Samir Mullick, MD, SC, which does business as Pediatric Associates, and its owner Dr. Samir Mullick, agreed to pay $706,599 to resolve allegations that Pediatric Associates submitted … Read More
COVID-19 appears to still have a hold on dentistry. The number of dental practices operating under “business as usual” conditions has declined slightly each month since July 2021, according to new poll data released by the ADA’s Health Policy Institute … Read More
A Dallas Morning News reader recently asked Curious Texas what happened to Jacques Roy, a Rockwall doctor who was convicted in 2017 of masterminding a record $373 million home health fraud scheme against Medicare and Medicaid. Roy used fake patients … Read More
Texas Attorney General Ken Paxton announced a $290 million settlement agreement Tuesday with pharmaceutical giant Johnson & Johnson over what the state claims were deceptive marketing tactics that contributed to the ongoing opioid crisis. In July, he announced Texas had … Read More
Two Texas physicians, Robert Wills and Brannon Frank, have agreed to pay $3.9 million to resolve allegations that they violated the False Claims Act by knowingly billing Medicare, Medicaid and TRICARE for medically unnecessary urine drug testing. The settlements with … Read More
dental hygienist accused of continuing to work while knowing she had COVID-19 agreed to pay a $100 fine to settle charges with the Iowa Dental Board, according to a final order recently issued by the board. Rachel Crabb, RDH, who … Read More
TUCSON, Ariz. (KOLD News 13) – Dentists across the nation are reporting a staffing shortage and an increase in demand for appointments amid the pandemic. Local offices are saying it could take months for a new patient to be seen … Read More
A state appeals court found Thursday that former deputies of Attorney General Ken Paxton who were fired after accusing the Republican official of abusing his office are protected under the state’s whistleblower law, allowing their lawsuit against Paxton to proceed. … Read More
HARRISBURG, PA —The United States Attorney’s Office for the Middle District of Pennsylvania announced that Dr. Gina Sohn, a dentist practicing in South Korea, has agreed to pay the United States $100,000 to resolve civil liability for alleged violations of … Read More
Democrats are trying to get their massive budget reconciliation bill passed, a process that has met with resistance from members of their own party. That means they will likely need to cut some of the bill’s proposals to shrink the … Read More
WASHINGTON — A survey of dentists in the United States finds that an overwhelming majority of those who responded believe nonsteroidal anti-inflammatory drug (NSAID)-acetaminophen combinations are as effective or more effective in managing dental pain as opioids; however, almost half … Read More
In 1958, the American Medical Association, the American Dental Association, and several other health professional organizations created the Joint Council to Improve the Health Care of the Aged, which was dedicated to opposing the creation of the program that would … Read More
BOSTON — In the largest settlement of its kind, a private equity firm and former executives of South Bay Mental Health Center, Inc. have agreed to pay $25 million for allegedly causing fraudulent claims to be submitted to the state’s … Read More
A Tennessee physician was sentenced today in the Western District of Tennessee to 20 years in prison for his unlawful prescribing of opioids that caused the death of one of his patients. According to court documents, Thomas K. Ballard III, … Read More
There is no safe level of lead exposure; even low-level blood lead concentrations during childhood have been associated with behavioral and physical impairments. Children exposed to lead may suffer stunted cognitive development and delayed reproductive development. In the longer term, … Read More
Pacific Dental Services (PDS) recently announced the grand opening of its 850th supported dental practice, marking yet another significant milestone in the dental support organization’s 27-year history. The newly opened supported practice, Dentists of Eastgate in Cincinnati, Ohio, is the … Read More
EDWARDSVILLE — A former Edwardsville nurse has pleaded guilty to stealing drugs from elderly patients. Angela Mohler, 40, of Belleville, pleaded guilty Wednesday to five counts of obtaining drugs by fraud. According to court documents, between 2018 and this year … Read More
A private equity firm and two former executives at a mental health provider have agreed to pay $25 million to settle a lawsuit that alleged they caused fraudulent claims to be submitted to the state’s Medicaid program. The state attorney … Read More
As Gov. Greg Abbott and other Republican Texas leaders wage a war against vaccination mandates meant to curb COVID-19, a state Senate committee on Thursday advanced legislation that would make any entity, including hospitals, vulnerable to discrimination lawsuits if they … Read More
A federal jury in the Eastern District of Michigan has convicted Michigan doctor Francisco Patino, M.D. for his role in a health care fraud scheme. The scheme to defraud Medicare and other health insurance programs involved several Michigan-based companies including: … Read More
The red flags at Forest Park Medical Center came early and often. Doctors at the Dallas hospital observed questionable practices, and partners noted vast sums of money being allocated for “marketing.” A 2016 lawsuit became a harbinger of trouble for … Read More
SHREVEPORT, La. – Acting United States Attorney Alexander C. Van Hook announced today that Dr. Llewelyn Simon, an internal medicine physician from Monroe, Louisiana, has agreed to pay the United States $640,000 to resolve allegations that he accepted payments for … Read More
It is essential to provide some perspective regarding “Dentists’ Group Fights Medicare Coverage” (U.S. News, Sept. 28), concerning the American Dental Association. The National Dental Association (NDA) is advocating for a Medicare dental benefit. Members of the NDA have accepted … Read More
Texas Gov. Greg Abbott on Monday issued another executive order cracking down on COVID-19 vaccine mandates — this time banning any entity in Texas, including private businesses, from requiring vaccinations for employees or customers. Abbott also called on the Legislature … Read More
