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
A close, long-standing friend of Gov. Mike DeWine registered early this year to lobby on behalf of a giant Medicaid provider — just before Attorney General Dave Yost accused the company of ripping off tens of millions of taxpayer dollars. … Read More
October 7, 2021 The OIG Audit Division conducted an audit of special investigative unit (SIU) activities at Aetna Better Health of Texas, a Medicaid and Children’s Health Insurance Program managed care organization. MCOs are required to establish an SIU to … Read More
New York (AP) —18 former NBA players have been charged with stealing the league’s health and welfare benefit program from about $ 4 million, according to a charge in New York on Thursday. Federal prosecutors have planned a press conference … Read More
A Rockville woman was sentenced Friday to 12 months in prison for defrauding the District of Columbia’s Medicaid program out of more than $813,000 through false billing, authorities said. Mahsa Azimirad, 41, was the office manager for Universal Smiles, a … Read More
Three generic pharmaceutical manufacturers, Taro Pharmaceuticals USA, Inc., Sandoz Inc. and Apotex Corporation, have agreed to pay a total of $447.2 million to resolve alleged violations of the False Claims Act arising from conspiracies to fix the price of various … Read More
WASHINGTON – Mahsa Azimirad, the former office manager for Universal Smiles, a Washington, D.C.-based dental practice, was sentenced today to 12 months in prison on a federal charge of health care fraud stemming from a scheme in which she was … Read More
US Attorney for the Southern District of New York Audrey Strauss announced that nine suspects have been indicted for operating an over $20 million health care fraud scheme at fraudulent medical offices in Manhattan, Brooklyn, and Queens. It is alleged … Read More
A former Insys Therapeutics sales representative, whose trial had commenced, pleaded guilty in the Southern District of Ohio to conspiracy to defraud the United States for her involvement in a scheme to pay kickbacks to a doctor to induce him … Read More
CLARKSVILLE, TN (CLARKSVILLE NOW) – A federal jury has finished its deliberations in the case of Dr. Samson Orusa, 59, of Clarksville, who was convicted last month of federal drug charges, healthcare fraud, money laundering, and illegally distributing oxycodone at … Read More
AWorcester dental office manager has pleaded guilty to participating in a Medicaid fraud scheme, the U.S. Attorney’s office of Massachusetts announced on Tuesday. Robin Cronin of Worcester was indicted in January 2020 along with Dr. Anthony DiStefano III and Dr. … Read More
The Department of Justice announced today criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals, in 31 federal districts across the United States for their alleged participation in various healthcare fraud schemes that resulted in … Read More
Today Attorney General Paxton filed an objection to the Texas State Bar’s appointment of a one-sided and partisan “Investigatory Hearing Panel” to investigate him and his staff for defending the rights of the State of Texas by challenging the constitutionality … Read More
The Republicans trying to unseat embattled Attorney General Ken Paxton are unsparing in their criticism of the incumbent from their own party — and beginning to draw some hard contrasts with one another. During separate one-on-one interviews for the 2021 … Read More
Chris Callaway served as a Texas Ranger from 2012 to 2018 and worked on public integrity cases, including investigating both local officials and a legislator. Statewide, Rangers like him handled more than 560 cases involving corruption by local and state … Read More
BOISE, Idaho — A Boise woman who ran a caregiver business in Boise will spend time in jail for forging a client’s signature on documents submitted to Medicaid. Kendra Hessing, 43, was sentenced Tuesday to two years in prison. A … Read More
BOSTON – A California woman was sentenced yesterday for her role in a multi-million-dollar Medicare fraud scheme. Stefanie Hirsch, 51, of Los Angeles, Calif., was sentenced by U.S. Senior District Court Judge George A. O’Toole Jr. to three years of … Read More
A federal jury in the Eastern District of Michigan convicted a Michigan doctor today for his role in masterminding and executing a complex scheme to defraud Medicare and other health insurance programs by administering medically unnecessary spinal injections in exchange … Read More
Hundreds of organizations from mostly southern parts of the United States are pleading with Congress to expand Medicaid in the 12 states that have refused to do so. Among those states is Texas, which has the highest uninsured rate in … Read More
PITTSBURGH, PA – A South Hills pharmacist pleaded guilty in federal court to charges of obtaining controlled substances by fraud, misbranding of drugs, and health care fraud conspiracy, Acting United States Attorney Stephen R. Kaufman announced today. Timothy W. Forester, … Read More
FAYETTEVILLE – A Florida dentist, formerly of Arkansas, pleaded guilty today to one count of conspiracy to commit honest services fraud in a scheme with former Arkansas State Senator Jeremy Hutchinson that occurred between 2014 and 2016. U.S. District Judge … Read More
John Peter Smith Hospital agreed to pay $3.3 million to settle a case alleging it violated the False Claims Act by upcoding claims given to federal healthcare programs such as Medicare, TRICARE, and VA health benefits programs. The suit stems … Read More
ABINGDON, Va. – A Bristol, Tennessee man was sentenced today to three months of home confinement for conspiring with another man to pay and receive kickbacks. In addition to home confinement, he will pay $56,000 in monetary penalties and will … Read More
NEW YORK, Sept. 16, 2021 /PRNewswire/ — The United States Department of Justice (DOJ) has filed its complaint in intervention in a Constantine Cannon whistleblower’s lawsuit against Independent Health Association (IH), coding consultant subsidiary DxID LLC (DxID) and Betsy Gaffney, … Read More
An ophthalmologist in Rye, NY, has pleaded guilty in connection with a seven-year healthcare fraud scheme. Dr. Ameet Goyal falsely billed for millions of dollars of procedures he did not perform, according to a press release from the U.S. Attorney’s … Read More
