The owner of Texas Center for Orthopedic and Spinal Disorders in Fort Worth was sentenced Feb. 25 to 10 years in prison for his role in a $10 million healthcare fraud scheme. Mark Kuper, MD, admitted to conspiring with his … Read More
A Fort Worth osteopath who attempted to incinerate clinic records has been sentenced to 10 years in federal prison for his role in a $10 million healthcare fraud, announced Acting U.S. Attorney for the Northern District of Texas Prerak Shah. … Read More
PITTSBURGH – The former administrator of a Mount Lebanon skilled nursing home has been indicted by a federal grand jury in Pittsburgh on charges of conspiracy to defraud the United States, health care fraud and obstruction of a federal audit, … Read More
BOSTON (Mass.gov) – Attorney General Maura Healey’s Office has reached a settlement with a Brighton dental office and dentist to resolve allegations that they refused to accept MassHealth members seeking dental treatment. The settlement with Amity Dental Center, located in … Read More
HARTFORD — A father and son from California who defrauded Affordable Care Act programs in 12 states, including Connecticut, were sentenced Tuesday in a case believed to be the “first of its kind,” according to federal officials. Judge Aliv W. … Read More
Antonio Olivera, administrator of Southern California-based home health and hospice agency Mhiramarc Management LLC, was sentenced to 30 months in prison for his role in a Medicare fraud scheme involving $28 million in falsified health care claims. Olivera pled guilty … Read More
The U.S. Department of Health and Human Services (HHS) Acting Secretary Norris Cochran declared a public health emergency for the state of Texas on Feb. 17, 2021, due to the recent winter storms. This declaration follows President Biden’s emergency declaration … Read More
WASHINGTON – Today, President Joe Biden named several key hires to the Department of Health and Human Services, Department of Education, and the Department of Veterans Affairs. Chiquita Brooks-LaSure will serve as the Administrator for the Centers for Medicare and … Read More
Just as the Republican majority in the Mississippi Legislature is determined not to accept federal money to expand Medicaid, the Democrats in the Biden administration are determined to coax states into taking the deal. The Washington Post website reported Tuesday … Read More
NEWARK, N.J. – A New Jersey senior care company will pay $714,996 to resolve allegations that it violated the False Claims Act by making false representations in connection with submissions to the Centers for Medicare & Medicaid Services, Acting U.S. … Read More
The Oklahoma Health Care Authority announced this morning that three companies have been selected to receive managed care dental contracts for Oklahoma’s Medicaid oral health plans. The companies are: Dentaquest Liberty Dental Plan of Oklahoma, Inc. MCNA Dental In the … Read More
An Indian Rocks Beach businesswoman has plead guilty to conspiracy to commit health care fraud and filing a false tax return, the U.S. Attorney’s Office in Tampa recently announced. Kelly L. Wolfe, 49, faces a maximum 13 years in prison … Read More
WASHINGTON – President Joe Biden has picked a former Obama administration official to run the Centers for Medicare and Medicaid Services. The agency oversees government health insurance programs covering more than 1 out of 3 Americans and is a linchpin … Read More
CEO Henry McInnis of Merida Health Group in Texas has been sentenced to 15 years in prison for his role in a $154 million Medicare fraud scheme involving false claims for hospice care. A jury in 2020 found McInnis, company … Read More
Late last year, Texas Attorney General Ken Paxton fired multiple senior aides who accused him of accepting a bribe. A court filing obtained by The Texas Tribune reveals for the first time what four of those aides believe Paxton received … Read More
(CN) — The Department of Justice fought in the 11th Circuit Thursday to preserve the conviction of a pharmacist who prosecutors say participated in a half-baked scheme to fraudulently bill millions of dollars for topical creams. The DOJ’s counsel urged … Read More
WILMINGTON, N.C. – A Bethesda, Maryland man was sentenced today to 18 months in prison for health care fraud. In addition to the prison term imposed, he was also ordered to pay $173,870.12 to the North Carolina Medicaid Fund as … Read More
Texas Attorney General Ken Paxton took some heat Wednesday when a budget hearing before the Senate Finance Committee became a forum for skeptical questions about a legal settlement he endorsed, raises he approved and expensive outside lawyers he hired to … Read More
The CEO of a Texas-based group of hospice and home health entities was sentenced today to 15 years in prison for falsely telling thousands of patients with long-term incurable diseases they had less than six months to live in order … Read More
All 13 Democrats who represent Texas in Congress are calling on Gov. Greg Abbott to reverse a yearslong effort to boot Planned Parenthood from the state’s Medicaid program, saying it jeopardizes thousands of low-income Texans’ ability to access nonabortion health … Read More
It was 20 years ago when a group of dentists gathered in a downtown St. Louis building — one that had been condemned and was ready to be demolished within the following month. “Boy, don’t we remember that first venue?” … Read More
With demand for the COVID-19 vaccine high and much of the U.S. experiencing a confusing rollout, state dental associations are advocating for dental teams in their states to be prioritized to receive the vaccine. “The American Dental Association has deployed … Read More
Dentists in Texas agree that putting off care for even a few months can increase the number of people in area hospitals. Source: Dentists concerned fewer people are seeking dental care during pandemic / FOX7 Austin
Tenet Healthcare Corp. is appealing a ruling Monday by the U.S. District Court in Detroit that refused to vacate or seal a $10 million arbitration award to two whistleblower physicians. Dr. Amir Kaki and Dr. Mahir Elder are two prominent … Read More
(Hartford, CT) – Attorney General William Tong and John H. Durham, United States Attorney for the District of Connecticut, today announced that Cordant Health Solutions entered into a civil settlement with the federal and state governments and have paid $845,108 … Read More
Henry McInnis of Harlingen, Texas, CEO of the health care organization Merida Group, was sentenced to 15 years in prison on Wednesday for his involvement in a medical fraud scheme that involved lying to patients about their life expectancy in … Read More
Say you were told that every dollar you contribute toward a cause would be matched with $9. Sounds like a pretty good deal, doesn’t it? This is the deal that Texas is forgoing by refusing to expand Medicaid. If we … Read More
Duval County Commissioner David Garza has been indicted on federal charges related to allegations he committed healthcare fraud. Garza, who is listed in the court records as the owner of Adventia Home Health Agency, was indicted in September 2020 on … Read More
Planned Parenthood facilities in Texas will no longer receive taxpayer funds through the Medicaid program beginning February 3. The state denied the abortion provider’s request to continue to receive Medicaid reimbursement funding for its clinics, as Catholic News Agency observed. … Read More
BRYAN, TX — Texas A&M University College of Dentistry is expanding its footprint in special-needs dentistry, filling in the gap, that patients with intellectual disabilities unfortunately endure, when it comes to their dental care. “Most kids that have special needs … Read More
JEFFERSON CITY, Mo. — State Rep. Tricia Derges was indicted by a federal grand jury Monday for an alleged wire fraud scheme and illegally providing prescription drugs to clients at her health clinics. Derges, 63, was charged with 20 counts … Read More
WASHINGTON — U.S. President Joe Biden on Thursday reopened the nation’s online health insurance marketplace for people who cannot obtain coverage through their employers, in a move he said was aimed at undoing “damage” done by his predecessor Donald Trump. … Read More
The Minnesota Attorney General’s Office has charged eight people with perpetrating a long-running fraud scheme that cost the state’s Medicaid program more than $860,000. Investigators allege in charges filed this week that the ringleader of the five-year swindling operation was … Read More
By Melissa Busch, DrBicuspid.com assistant editor January 28, 2021 — Patient volume remains stuck at 80% of pre-COVID-19 levels and likely will stay that way for the next several months, putting the brakes on a complete recovery in dentistry for … Read More
Federal prosecutors call it the biggest healthcare fraud case in history. They say five men have all pleaded guilty to nearly $175 million of fraud. All of them are from Tampa Bay. This week, Larry Everett Smith, of Tampa, was … Read More
MARLBROUGH – Massachusetts Attorney General Maura Healey announced today, January 28, that two adult day health centers in Marlborough and Lowell will pay more than $1 million to resolve allegations that they improperly billed the state’s Medicaid Program (MassHealth) for … Read More
President Biden on Thursday announced several steps intended to expand access to health care, including an executive order to temporarily reopen the Affordable Care Act’s insurance marketplace for Americans seeking coverage during the pandemic. Biden also directed federal agencies to … Read More
When a doctor decides the kind and dosage of medication a patient needs, it is not just guess work. Pharmacogenetic or pharmacogenomic testing makes this process more accurate by identifying genetic variations that affect how an individual metabolizes certain drugs. … Read More
Brooklyn Center, MN (KROC-AM News) – Eight people have been charged with being involved in a Medicaid fraud scheme involving the theft of over $860,000. Minnesota Attorney General Keith Ellison says his office has filed a total of 46 counts … Read More
Health care providers have seen an increase in litigation and disputes with commercial payors. On January 13, 2021, a federal district court in Dallas, Texas, entered judgment against two health care providers and their managers, awarding $5.8 million to Cigna … Read More
