According to the National Health Care Anti-Fraud Association, $ 3.6 trillion has been spent on healthcare The United States in 2018, and that financial losses from healthcare fraud are in the tens of billions of dollars each year. Estimates put … Read More
The number of improper payments made under Medicare fee-for-service declined by $20.72 billion since 2014, according to new figures from the Biden administration. The Centers for Medicare & Medicaid Services (CMS) said the data, released Monday, are the result of … Read More
Two men were sentenced Nov. 5 for their roles in a fraud scheme against Medicare and the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) after submitting at least $134 million in fraudulent claims, according to … Read More
ELGIN, S.C. (WACH) — An Elgin woman has been charged with medical fraud according to the Attorney General’s Medicaid Fraud Control Unit (SCMFCU). Rachel Nicole Summers, 37, has been charged with two counts of obtaining signature or property by false … Read More
WATSONTOWN, Pa. — A dentist is offering free dental services to all veterans on Friday, November 12. Carl Jenkins is a vet himself and now runs a dental practice in Watsontown, Northumberland County. This is the seventh year the doctor … Read More
An Arizona nurse anesthetist is facing multiple lawsuits after two of his patients died in separate dental procedures within a year. Tory Richmond is accused of medical negligence in the wrongful death cases of a woman who died from a … Read More
A second Valley doctor has pleaded guilty to federal charges filed in connection with a Medicaid fraud and kickback investigation that brought charges against two other doctors. Dr.Joni Canby appeared in U.S. District Court on Wednesday and pleaded guilty to … Read More
(The Center Square) – Texas Democratic Congressman Filemon Vela has called on the Secretary of Health and Human Services and administrators within the Centers for Medicare and Medicaid Services to renew Texas’ Medicaid Section 1115 waiver and several Medicaid managed … Read More
COLUMBIA, SC (FOX Carolina)- Acting United States Attorney M. Rhett DeHart announced that seven people pled guilty to charges related to Medicaid fraud conspiracy. DeHart said all of the defendants in the case are either former owners, employees, or business … Read More
Longview, Texas-based Christus Good Shepherd Health System is offering a $1,500 referral bonus to members of the public, part of a nurse recruitment campaign. It is the first time the hospital is enlisting the public to help to extend the … Read More
NEWARK, N.J. – Three men today admitted their roles in a health care fraud and kickback schemes, U.S. Attorney Rachael A. Honig announced. Nicholas Defonte, 73, and Christopher Cirri, 63, both of Toms River, New Jersey, and Pat Truglia, 53, … Read More
COLUMBIA, S.C. (WCIV) — Four family members were sentenced this week in a scheme to defraud South Carolina Medicaid of over $3.6 million, according to Acting United State Attorney M. Rhett DeHart. Tony Lee Covington, 50, his wife Priscilla Covington, … Read More
U.S. Rep. Louie Gohmert, R-Tyler, is exploring a run for Texas attorney general, weighing a late entry into the already crowded primary to unseat GOP incumbent Ken Paxton. Gohmert said he will run if he can raise $1 million in … Read More
CLARKSBURG, W.Va. (WV News) — Adult Medicaid recipients in West Virginia have had access to dental benefits since Jan. 1, but agencies providing services to uninsured and underinsured patients say the need far exceeds the benefits that were made available. … Read More
BROKEN ARROW, Okla. — Tulsa County Sheriff’s Office arrested Mansoor Magbool Bhatti on 20 counts of practicing dentistry without a license in Broken Arrow. A patient noticed a billing issue with their insurance back in June. Their insurance told them … Read More
TAFEF is a United States based organization which supports the Government’s recovery of taxpayer dollars from fraudulent health care providers. Here, TAFEF filed their “friend of the court” Amicus Brief in Court in support of the Government’s lawsuit against Stanford … Read More
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
