An Enfield woman who allegedly billed Medicaid nearly $150,000 in services from unlicensed individuals or provided no services at all, was arrested Monday afternoon. Marcy L. Taliceo, 45, was charged with health insurance fraud and first-degree larceny by defrauding a … Read More
Mohamed Mokbel and Fathy Elsafty, of Houston, Texas, were arrested on charges of money laundering, health care fraud, and conspiracy to commit health care fraud for their participation in an alleged pharmacy fraud scheme. Mokbel served as CEO of 4M … Read More
A New York vascular surgeon has admitted guilt and will pay $800,000 to settle charges that he performed unnecessary procedures on patients with kidney disease, according to the Department of Justice (DOJ). Feng Qin, MD, is also prohibited from participating … Read More
If we have learned anything over the past year, it’s that adversity reveals the true character of leaders. Since this is Texas, this lesson means recognizing we have elected state officials driven by self-interest, not the public’s interest, at apparently … Read More
Low-income patients will no longer be able to use Medicaid to get nonabortion health services at Planned Parenthood, after a Wednesday court decision said Texas can move forward with kicking the health provider out of its Medicaid program. The decision … Read More
DALLAS — Texas Attorney General Ken Paxton, who is under FBI investigation over claims of using his office to help a political donor, gave a job in recent months to another supporter: a onetime neighbor whose family chipped in $50,000 … Read More
HOUSTON, Texas (KTRK) — A man known for loud parties and splashy Instagram posts is spending the night in federal detention after prosecutors alleged he paid for it all by bilking others. Federal investigators swarmed the front of a $2 … Read More
Florida’s sunshine, lack of state taxes and wealthy seniors have created a glut of dentists on every street corner. It is a fallacy that there is a shortage of dentists. Graduates of Florida’s three dental schools have a difficult time … Read More
An orthodontist who operates a dental practice on Dorchester Avenue has been hit with a lawsuit by the state’s attorney general that claims he has been purposely “keeping children in braces for longer than medically necessary and deceptively billing for … Read More
AUSTIN — A Texas Medicaid subcontractor has been terminated after a data-privacy breach caused by a ransomware attack from Russia last year exposed the personal information of tens of thousands of low-income residents. Also, a spokeswoman for the state’s sprawling … Read More
A medical director, operator and two unlicensed practitioners at a Texas medical clinic are now in custody on charges related to their alleged participation in a $32 million health care fraud scheme. Farrah Forough Farizani, D.O., 57, Hamid Reza Razavi, … Read More
The chief executive officer of a Michigan and Ohio-based group of pain clinics and other medical providers was sentenced today to 15 years in prison for developing and approving a corporate policy to administer unnecessary back injections to patients in … Read More
Allergy and Asthma Associates, a medical practice in Roanoke, Va., has agreed to pay $2.1 million to resolve allegations of fraudulent billing. Prosecutors said the medical practice billed Medicare and Virginia Medicaid more than $600,000 for asthma treatments it did … Read More
AMARILLO, Texas (KVII) — The unexpected closure of a dental center in Amarillo has left dozens of patients in pain, and desperately seeking answers and help. Many paid up front for procedures that still haven’t been completed. Others complain that … Read More
The court’s Second Division also ordered Alexander Garcia, owner of Sacred Heart Dental Center of Morning Breeze Subdivision, Caloocan City to pay the Bureau of Internal Revenue (BIR) P29.7 million in deficiency taxes and increments. Garcia denied the tax evasion … Read More
The managers of a dentist office with multiple locations in Northwest Indiana have been charged with health care fraud in U.S. District Court in Hammond. Justyn Arch, 34, and Trystan Arch, 31, both of Valparaiso, allegedly submitted more than $350,000 … Read More
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
