The former owner and operator of a Missouri assisted living community has paid a $150,000 settlement in a Medicaid fraud case for falsely billing services that were not provided. Brook Fears was charged with filing 148 false claims to MO … Read More
In Midland today, a federal judge sentenced 45-year-old James Clinton Fletcher, owner of now-defunct San Jan, LLC, to 15 years of imprisonment for defrauding investors out of more than $18 million through various fraudulent schemes. In addition to the prison … Read More
San Antonio – San Antonio’s doctor’s assistant pleads guilty to Medicaid and Medicare fraud and can face up to 20 years in prison. Christopher Felix Montoya, who owns the TPC Family Care and Medical Clinic in San Antonio and Laredo, … Read More
The owner and Chief Executive Officer of Spring Hill-based Crestar Labs, LLC was charged on Friday for his alleged role in a fraudulent Medicare billing scheme relating to genetic testing of the elderly and cancer patients. The criminal complaint was … Read More
Ventura dentist Homayoun Zadeh has agreed to plead guilty to filing a false tax return in connection with the national college admissions scandal, federal officials said Thursday. Zadeh, an associate professor at USC and internationally known periodontist, was accused of … Read More
MONROE, La. –A federal grand jury has returned an indictment charging Charlie L. Simpson, 48, of Downsville, who worked as Chief Operating Officer of United Home Care, Inc. (“United”) and Trinity Home Health Care, Inc. (“Trinity”),and Charles R. Gardner, 53, … Read More
Akron General Health System (AGHS), a regional hospital system based in Akron, Ohio, will pay $21.25 million to resolve allegations under the False Claims Act of improper relationships with certain referring physicians, resulting in the submission of false claims to … Read More
MORRIS COUNTY, NJ — Former dentist from Morris County Frederick Bailey admitted that he sold and dealt drugs, the U.S. Attorney’s Office for the District of New Jersey said. The 61-year-old Denville resident pleaded guilty to one count of conspiring … Read More
STATEWIDE — Florida is among 6 states that will receive a share of a $2-million dollars settlement from a French medical device manufacture accused of paying kickbacks to doctors. Medicrea International and its American affiliate Medicrea USA Inc. have agreed … Read More
NORFOLK, Va. (WAVY) — A Portsmouth man has been sentenced to two years in prison for defrauding Virginia Medicaid and submitting more than $188.000 in false claims. According to a Department of Justice news release, the false claims were made … Read More
A Connecticut primary care physician was ordered to pay nearly $15 million over allegations of an illegal billing scheme, the state’s attorney general said June 28. According to prosecutors, Ramil Mansourov, MD, billed Connecticut’s Medicaid program for medical treatment that … Read More
A former Henderson County social services caseworker was charged last week with stealing more than $80,000 by switching Medicaid assistance payments to her own bank account when a family became ineligible for the cash, according to arrest warrants. Ryan Marie … Read More
NORTH JERSEY — A Chester man pleaded guilty on Thursday to his involvement in a healthcare fraud operation, when he and another man from New York admitted to a federal judge they defrauded a union fund in excess of $4 … Read More
Earlier this year, the United States Department of Justice (DOJ) wrapped up sentencing in a $189 million Medicare fraud scam dating back roughly a decade. Bobby Rouse, Steven Houseworth, Jeffery Parsons, and David Edson were all members of the executive … Read More
BEAUMONT — From U.S. Attorney’s Office – A physician practicing in Beaumont has been sentenced to prison for federal health care fraud violations in the Eastern District of Texas, announced Acting U.S. Attorney Nicholas J. Ganjei today. Grigoriy T. Rodonaia, … Read More
EL PASO –El Paso Ear, Nose & Throat Associates (EPENT) has agreed to pay $750,000 to settle allegations that they violated the False Claims Act by billing Medicaid, Medicare and other federal healthcare programs by upcoding evaluation and management codes. … Read More
By Melissa Busch, DrBicuspid.com associate editor June 22, 2021 — The U.S. Occupational Safety and Health Administration (OSHA) emergency temporary standard that protects healthcare workers, including some dental practitioners, from occupational COVID-19 exposure is now in effect. Nonexempt employers have … Read More
Medicaid enrollment rose sharply throughout the pandemic, with practically 10 million Americans becoming a member of the public well being program for the poor, a government report launched Monday confirmed. Eighty million individuals have been lined below Medicaid, a document. … Read More
Local governments would be able to bypass conservative state leaders and implement their own Medicaid expansion programs for working poor Texans with federal funds under federal legislation announced Monday by U.S. Rep. Lloyd Doggett, D-Austin. Dubbed the “Cover Outstanding Vulnerable … Read More
A civil healthcare fraud lawsuit against 11 New York-based skilled nursing facilities alleges that they fraudulently inflated Medicare reimbursements by prolonging patient stays without regard to patients’ medical needs. The suit also alleges these facilities billed for excessive rehabilitation therapy … Read More
HARRISBURG, Pa. — A Harrisburg woman and her Lancaster brother-in-law have been charged with four felony counts of Medicaid fraud and one felony count of theft by deception after allegedly submitting fraudulent timesheets to Medical Assistance for more than $95,000. … Read More
The United States Department of Justice (DOJ) recently charged 14 people for engaging in alleged healthcare fraud schemes related to the COVID-19 pandemic, resulting in more than $143 million in false billings. The charges implicate a telemedicine company executive, physician, … Read More
McALLEN, TX — A compound pharmacy owner, three marketers, a referring physician and two clinic office staff have been taken into custody in connection with a multi-million dollar health care fraud and kickback scheme, announced Acting U.S. Attorney Jennifer B. … Read More
BALTIMORE, Md. – Maryland Attorney General Brian E. Frosh announced today that Vitalis Ohakwe Ojiegbe, 66, of Bowie, was charged in the Circuit Court for Prince George’s County with one count of Medicaid Fraud and 32 counts of Distribution of … Read More
A jury has found two medical directors and one nurse from Dallas-based Novus Health guilty of conspiracy to commit health care fraud in a scheme that bilked close to $40 million from Medicare. The U.S. Department of Justice accused Mark … Read More
A state agency has received a complaint from a Fort Worth woman who says she was shown out a door while still groggy and she passed out on the parking lot of a North Richland Hills dental clinic after having … Read More
LOWELL — An orthodontist with an office in Lowell is being sued by Attorney General Maura Healey for allegedly illegally charging MassHealth patients for missed or cancelled appointments, officials announced on Thursday. Healey’s office filed the new claims against Dr. … Read More
According to the indictment and a previously filed complaint, Mozeb is a co-owner of Great Lake Transportation, a non-emergency medical transportation provider for local Medicaid recipients. Great Lake, which has been in operation since August 2016, has a fleet of … Read More
Billy Joe Taylor, a previously unknown poker player, has fast become a star on TCH Live, a poker livestream of high-stakes cash game sessions from the Texas Card House (TCH) in Dallas. The Arkansas player has left a mark among … Read More
Three Texas physician practices settled billing fraud allegations related to neurostimulator devices, according to a June 10 Justice Department statement. Harker Heights-based Ledger Foot & Ankle, Round Rock-based Superior Physical Medicine, and San Antonio-based Precision Spine and Pain Management are … Read More
Dr. Brian James August, 60, of El Paso, Texas, faces opioid overdose and fraud charges for allegedly prescribing addictive medications to “patients for more than six years, which resulted in the deaths of five people,” according to court records. Prescriptions … Read More
DALLAS (AP) — The Texas bar association is investigating whether state Attorney General Ken Paxton’s failed efforts to overturn the 2020 presidential election based on bogus claims of fraud amounted to professional misconduct. The State Bar of Texas initially declined … Read More
Adam Gallardo Arredondo, 59, of Waxahachie, Texas, pleaded guilty Monday to illegal remuneration for health care referrals. Arredondo admitted that he solicited and received checks from OK Compounding, a Tulsa pharmacy, in exchange for referring his patients’ compounding prescriptions. The … Read More
A California man pleaded guilty today to conspiracy to commit health care fraud. According to court documents, Keyvan Amirikhorheh, M.D, 61, of Seal Beach, worked as a physician at Los Angeles Community Clinic. Together with his co-defendants, Amirikhorheh defrauded the … Read More
HOUSTON – A 46-year-old chiropractor and her medical group have agreed to pay in order to resolve allegations of fraudulent billing, announced Acting U.S. Attorney Jennifer B. Lowery. Suhyun An owns and manages Campbell Medical Group PLLC and Johnson Medical … Read More
SAN DIEGO (Press Release)– Retired pediatric dentist Dr. Bruce Baker of San Diego was sentenced in federal court Monday to 15 months in custody for evading over $644,000 in taxes as part of a brazen, decade’s long tax-evasion scheme with … Read More
A nurse practitioner was sentenced to 20 years in federal prison and ordered to repay $52 million for his role in a scheme to steal physicians’ identities and defraud Medicare and other insurers. The Waxahachie provider, Trivikram Reddy, pleaded guilty … Read More
On the eve of the 87th Texas Legislature, as the state’s dismally large gaps in health care access grew even wider during the COVID-19 disaster, it seemed to lawmakers in both parties like a good time to consider Medicaid expansion … Read More
WACO, Texas (KWTX) – The Texas Health and Human Services Commission (HHSC) allowed the public to weigh in on Wednesday on a 10-year, multi-billion dollar Medicaid waiver it previously negotiated in the final days of the Trump administration. Texas uses … Read More
Another legislative session has come and gone, and Texas remains one of 12 states to limit Medicaid coverage for adults, despite studies that demonstrate its benefits to Texans as well as the state’s budget. In addition to several reports that … Read More
