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
AUSTIN, TX — Texas Mission of Mercy (TMOM), a mobile dental clinic that delivers pain-relieving dental care at no cost to underserved Texans, is coming to San Angelo on June 4-5, 2021. TDASF has teamed up with the First United … Read More
PITTSBURGH — Several New York dental clinics along with the Bradford Dental Center, along with the Bradford Dental Center’s parent company, Upper Allegheny Health System (UAHS), have agreed to pay $2.7 million to resolve False Claims Act allegations. Under 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
NASHVILLE – The United States and Tennessee today filed a consolidated complaint in intervention alleging violations of the False Claims Act and the Tennessee Medicaid False Claims Act by Curo Health Services Holdings, Inc., Curo Health Services, LLC, TNMO Healthcare, … Read More
The Justice Ministry announced on Wednesday that federal prosecutors have charged 14 people with fraudulent plans allegedly claiming $ 143 million from consumers and insurance companies. In addition to those charged by the DOJ, more than 50 healthcare providers also … Read More
EL PASO – Today federal authorities arrested 60-year-old Dr. Brian James August of El Paso for allegedly committing health care fraud and distributing controlled substances that resulted in the overdose deaths of five individuals. A 15-count federal grand jury indictment, … Read More
Texas mothers on Medicaid could keep their health coverage for half a year after giving birth, instead of just two months, under a bill passed by the Senate early Thursday. Maternal health advocates said the bill — originally pitched as … Read More
Upper Allegheny Health System (UAHS), a health care system which operates dental clinics in Southern New York and Pennsylvania, is to pay $2.7 million dollars to resolve federal and state False Claims Act (FCA) allegations, the U.S. Department of Justice … Read More
A Waxahachie, Texas, nurse practitioner has been sentenced to 20 years in federal prison and ordered to repay more than $52 million in restitution for his role in a healthcare and insurance fraud scheme, according to Acting U.S. Attorney for … Read More
A Gainesville doctor recently convicted of healthcare fraud could face up to 35 years in federal prison. Chief U.S. District Judge Barbara M.G. Lynn is set to sentence Dr. Mark E. Gibbs, Dr. Laila Hirjee and nurse Tammie Little at … Read More
WASHINGTON – Mahsa Azimirad, 41, of Rockville, Maryland, pled guilty on May 24, 2021, to a federal charge of health care fraud stemming from a scheme where she was paid over $813,000 by defrauding the District of Columbia’s Medicaid program. … Read More
Three medical professionals who helped a local hospice agency scam Medicare have been convicted of healthcare fraud, announced Acting U.S. Attorney for the Northern District of Texas Prerak Shah. On Monday, a federal jury found Novus Health Services Medical Directors … Read More
In 1993, Dr. David Silber, a dentist now practicing in Plano, Texas, was fired from the first dental clinic he worked for. He’d been assigned to a patient another dentist had scheduled for a crown preparation — a metal or … Read More
WILLIAMSBURG, Va. – Federal authorities accused a licensed therapist of billing millions of dollars in a healthcare fraud scheme. 45-year-old Maria Kokolis entered a plea of not guilty in federal court Friday. The Williamsburg Wellness Center owner and licensed counselor … Read More
