An Eastern Kentucky physician has been acquitted on charges that he defrauded health programs. A jury in federal court returned the not-guilty verdict on eight counts of health fraud against Dr. Sai P. Gutti of Pikeville after deliberating less than … Read More
HELENA – Democratic lawmakers in Montana said they are opposed to a plan to end 12-month continuous eligibility for people who qualify for Medicaid expansion or another program that provides health coverage for those with a disabling mental illness. The … Read More
TOPEKA — An expansive audit of Kansas Department of Health and Environment’s payments to companies contracted to deliver services under the state’s Medicaid program found $1.3 million in inappropriate compensation for care of people who had actually died. Steven Anderson, … Read More
Leonard C Boyle, Acting United States Attorney for the District of Connecticut, and Phillip Coyne, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of the Inspector General, today announced that LISA AZINHEIRA and L.A. … Read More
BEVERLY HILLS, CALIFORNIA, UNITED STATES, August 12, 2021 /EINPresswire.com/ — The federal government has joined in on several lawsuits accusing health care giant Kaiser Permanente of Medicaid overbilling in its Medicare Advantage managed-care plans. Medicare Advantage, also known as Medicare … Read More
August 10, 2021 (SAINT PAUL) — Minnesota Attorney General Keith Ellison announced that his office has obtained a plea of guilty against a former operator of four personal care assistant (PCA) agencies who defrauded Minnesota’s Medical Assistance (Medicaid) program out … Read More
(CNN Business)Accenture, the global consulting firm, has been hit by the LockBit ransomware gang, according to the cybercriminal group’s website. Accenture (ACN)’s encrypted files will be published by the group on the dark web on Wednesday unless the company pays … Read More
A federal grand jury in Newark, New Jersey, returned a superseding indictment today charging a Florida owner of multiple telemedicine companies with orchestrating a health care fraud and illegal kickback scheme that involved the submission of over $784 million in … Read More
DETROIT, MI – Ascension Michigan and related hospitals, Providence Park Hospital, St. John Hospital and Medical Center, St. John Macomb Oakland Hospital and Ascension Crittenton Hospital (collectively, Ascension Michigan), all located in Michigan, have agreed to pay $2.8 million to … Read More
On July 30, the DOJ announced that two Montana nurse practitioners have been sentenced to 12 and nine months in prison, respectively, and ordered to each pay millions in restitution for their involvement in a Medicare fraud conspiracy. The court … Read More
EAST SAINT LOUIS, Ill. – Shomanicka Holly, 36, of East Saint Louis, Illinois, was arraigned in federal court today after a grand jury returned an indictment charging her with three counts of felony health care fraud. The indictment alleges that … Read More
HAMDEN, CT — A Hamden dentist with an office in North Haven is accused of defrauding Medicaid by billing the government health care program more than $200,000 for services he didn’t perform, according to officials. Christian O’Connor, 53, of Hamden, … Read More
LEVITTOWN, PA — The owner of Penndel Drugs, Inc. and one of his employees have agreed to pay $250,000 to the state to resolve their liability under the False Claims Act, after the employee was shown to be a convicted … Read More
PITTSBURGH – A resident of Fox Chapel, Pennsylvania, was sentenced in federal court following his conviction at trial on two counts of health care fraud, Acting United States Attorney Stephen R. Kaufman announced today. United States District Judge David S. … Read More
TSBDE has received reports that some dental offices are allowing dental students who are not yet licensed to treat patients. Please note that in accordance with sections 256.001 and 256.052 of the Dental Practice Act, a person may not practice … Read More
A Texas dentist reasonably alleged that the nonprofit dental service provider Dental Health Programs Inc. and others violated the False Claims Act by falsely promising to adhere to several provisions in federal service provision contracts, a district court ruled. Whistleblower … Read More
By Theresa Pablos, DrBicuspid.com editor in chief The top 10 largest dental service organizations (DSOs) in the U.S. have grown considerably since we last updated our list in October 2019. Unlike private dental practices, the corporations do not appear to … Read More
The United States has intervened in six complaints alleging that members of the Kaiser Permanente consortium violated the False Claims Act by submitting inaccurate diagnosis codes for its Medicare Advantage Plan enrollees in order to receive higher reimbursements. The Kaiser … Read More
July 29, 2021. The United States Department of Justice this month settled four cases involving health care fraud for a total of $6 million. Whistleblowers received $504,000 for reporting fraud. An Ocala, Florida-based neurologist settled with the government regarding allegations … Read More
HOUSTON — A Houston man is facing up to five years in prison after being found guilty in a costly face mask scheme. Arael Doolittle, 56, pleaded guilty. He attempted to sell 50 million 3M N95 respirator masks to the … Read More
A second defendant has been sentenced for her role in a Texas conspiracy involving the theft of data from patients’ electronic health records that was then sold to support fraudulent claims for payment. Amanda Lowry of Sherman, Texas, was recently … Read More
Montgomery, Alabama – On July 23, 2021, a notice of dismissal was filed indicating that SpectraCare Health Systems, Inc. (“SpectraCare”) agreed to pay $1 million dollars to resolve a federal qui tam lawsuit alleging that it violated the False Claims … Read More
On June 17, 2021, the Supreme Court rejected another attempt to dismantle the Patient Protection and Affordable Care Act (“ACA”) in its highly-anticipated decision in Texas v. California. However, instead of ruling on the central issue in the case—whether the … Read More
WASHINGTON, D.C. – Congressman Steven Horsford (D-NV-04) and Congresswoman Robin Kelly (D-IL-02) have introduced the Medicare Dental Coverage Act, which would expand Medicare Part B to cover most dental services, including preventive dental care, routine dental treatments, and dentures. “Dental … Read More
People don’t become dentists to spend their time navigating the insurance claims process. They do it to take care of people. Unfortunately, the reality of dealing with insurance carriers and their varying claims policies can create headaches not only for … Read More
A Long Island lab is being asked to reimburse New Jersey’s Medicaid program almost all of the $25 million it was paid for drug testing work over nearly four years after a state watchdog agency found it vastly overcharged for … Read More
Two Texas companies have agreed to pay a combined $15.3 million to resolve allegations of kickbacks and other misconduct resulting in the submission of false claims to federal health US DOJcare programs. According to the settlement, Alliance Family of Companies … Read More
A Texas woman was sentenced Monday to 50 months in prison for defrauding the Virginia Medicaid program out of $2.8 million. “For over six years, the defendant stole over $2.8 million from the Virginia Medicaid program, using those funds to … Read More
NOTICE OF STAKEHOLDER MEETING August 11, 2021 The Board requests stakeholder input on the following topic related to possible rulemaking proceedings: Teledentistry, specifically implementation of Board rules in accordance with House Bill 2056 that was passed by the 87th Texas Legislature. … Read More
The past 18 months have tested everyone’s mettle. The biennial ADA Dentist Health and Well-Being Conference will feature sessions and speakers focused on building such resilience as well as sharing knowledge and solutions about the challenges dental professionals face in … Read More
HHS’ watchdog agency, the Office of Inspector General, recovered $3.1 billion in false and fraudulent claims in 2020, according to a July report. OIG won or negotiated more than $1.8 billion in judgments and settlements in 2020, which, combined with … Read More
FRANKFORT, Ky. (KT) – Kentucky will share in a $75 million multi-state settlement with Bristol-Myers Squibb Company, in a federal lawsuit that alleged the company overcharged state Medicaid programs for drugs. Under the settlement, the pharmaceutical manufacturer has agreed to … Read More
SACRAMENTO, Calif. — Akop Atoyan, 48, of Glendale, pleaded guilty today to one count of conspiracy to commit health care fraud and one count of conspiracy to pay and receive health care kickbacks, Acting U.S. Attorney Phillip A. Talbert announced. … Read More
Home health providers in the U.S. have paid at least $422.6 million to settle False Claims Act (FCA) allegations since 2012, according to a recently unveiled database from Nashville, Tennessee-based legal firm Bass, Berry & Sims. The total number of … Read More
The Dallas-area owners and operators of two durable medical equipment companies have been convicted on insurance fraud and money laundering charges, the U.S. Attorney’s Office for the Northern District of Texas reported. Federal officials said Leah Hagen, 49, and Michael … Read More
(RALEIGH) Attorney General Josh Stein reached two separate civil settlements with ProHealth Dental Inc. and Henry W. Davis, Jr., D.D.S. as part of Operation Root Canal, an ongoing effort to find and stop health care fraud among dental providers. The … Read More
BOSTON – A Lexington doctor and his wife, who works as his office manager, were charged today in a superseding indictment in connection with an international money laundering scheme involving importing illegal, misbranded drugs. Rahim Shafa, 64, was indicted on … Read More
NEWARK, N.J. – Two medical device manufacturers have agreed to pay $38.75 million to resolve allegations that they violated the False Claims Act for billing the Medicare program for defective rapid point-of-care testing devices, Acting U.S. Attorney Rachael A. Honig … Read More
Akron General Health System (AGHS), a hospital system in Ohio owned by the Cleveland Clinic Foundation, reached a civil settlement and agreed to pay $21 million for allegedly committing healthcare fraud by violating the False Claims Act. AGHS is accused … Read More
The U.S. Justice Dept. announced that Avanos Medical (NYSE:AVNS) agreed to pay more than $22 million to resolve a criminal charge related to fraudulent misbranding. Charges levied against the Alpharetta, Ga.-based medical device company relate to alleged fraudulent misbranding of … Read More
