The Eastern District of Texas announced several indictments last week. The included a North Texas financial advisor who has been accused of wire fraud and another individual accused of violating anti-kickback statutes. The Eastern District of Texas provided information on … Read More
On November 19, 2020, MCNA Dental announced that UnitedHealth Group (“United”) acquired the MCNA organization. MCNA Dental will retain its name and brand, and will continue functioning as one of the three dental maintenance organizations (DMOs) contracted by the state … Read More
The Texas attorney general’s office has fired the last remaining whistleblower who alleged Ken Paxton broke the law in doing favors for a political donor — just days after aides had sued the agency alleging they suffered retaliation for making … Read More
Dental visit delays are a concern during the pandemic. News5 got a look at the extra safety measures in place to keep patients and staff safe. Plus, dentists share their experiences and steps you can take to get back on … Read More
From compounding pharmacy fraud to medical billing fraud, there has been a sharp increase in both the frequency and the variations of medical fraud cases recently. It is an issue that needs to be tackled more seriously, and with better … Read More
PIKEVILLE, Ky. (KT) – A two-year investigation has led to federal health care fraud charges against the owner of rehabilitation facilities in eastern Kentucky. Eugene Sisco III, 35, of Pikeville, the owner of several rehabilitation facilities in Pike, Floyd and … Read More
OAK PARK, IL — A doctor from Oak Park and a Matteson woman are facing charges stemming from accusations they defrauded the state out of more than $1.2 million in Medicaid funds, Attorney General Kwame Raoul announced Monday, in a … Read More
A Texas physician has been sentenced to five years in prison and ordered to pay $9.5 million in restitution for her role in a multi-million Medicare fraud scheme, according to the Department of Justice. Yolanda Hamilton, M.D., was convicted of … Read More
HAZARD, Ky. (WYMT) – The owner of Pike County rehabilitation center was indicted in federal court earlier this week on Medicaid fraud. Eugene Sisco III of Pikeville was charged with devising a scheme to get money from health care providers. … Read More
BOSTON — A federal judge has sentenced a former Hopkinton woman who embezzled nearly $350,000 from a Greater Boston dental office to nearly three and a half years in prison. U.S. District Court Judge Mark L. Wolfe on Tuesday sentenced … Read More
BEAUMONT, Texas — A 43-year-old physician practicing in Beaumont has been found guilty of federal health care fraud violations in the Eastern District of Texas, announced U.S. Attorney Stephen J. Cox today. Grigoriy T. Rodonaia, of Port Neches, Texas, was … Read More
HOUSTON – A Texas physician was sentenced to five years in prison Wednesday for a $16 million Medicare fraud scheme, federal officials said. Yolanda Hamilton, M.D., 57, of Harris County, the physician-owner and operator of HMS Health and Wellness Center, … Read More
Dentists rank as some of the most trusted professionals in the US, but many insurance companies are using that trust to sell more dental plans. Providers should investigate whether companies are using a false endorsement to enroll clients. One of … Read More
The FBI is investigating Texas Attorney General Ken Paxton, the Associated Press reported Tuesday evening, vetting allegations made by eight of Paxton’s former top aides that he illegally used the power of his office to benefit a political donor. Two … Read More
Texas Attorney General Ken Paxton abused his office to benefit himself, a high-end campaign donor and a woman with whom he was reportedly having an affair before retaliating against seven top aides who reported him to the FBI, a lawsuit … Read More
When news broke last month that top aides to Texas Attorney General Ken Paxton had accused him of bribery and abuse of office, many in the Texas political scene were shocked but not surprised. In a mutiny without precedent, eight … Read More
Recently, a former Texas hospital (the “Hospital”) settled a multi-million dollar False Claims Act civil lawsuit involving the acquisition and use of funds from the largest Federal Housing Administration-backed mortgage for a for-profit hospital. The Hospital settled for $13.6 million … Read More
Law professor John Aloysius Cogan Jr. is a health insurance expert and Roger S. Baldwin Scholar at the UConn School of Law, who focuses his research and teaching on health care organizations and finance, health law and policy, federal health … Read More
As the pandemic rages on, many Texans are still struggling and have turned to the Supplemental Nutrition Assistance Program, better known as SNAP, for help. The federal program, administered by the Texas Health & Human Services Commission, provides food assistance … Read More
Memphis, Tennessee – Doctor Shoaib Qureshi, Doctor Imran Mirza, Memphis Primary Care Specialists, Lunceford Family Health Center, and Getwell Family Medicine agreed to pay $341,690 to resolve allegations that they violated the False Claims Act by knowingly charging Medicare for … Read More
At a senior staff meeting one Thursday morning in May, with much of the Texas attorney general’s office working from home and morale seeming low, Texas Attorney General Ken Paxton arrived at the Price Daniel Sr. State Office Building in … Read More
AUGUSTA (WJBF) – A Texas man has been sentenced to federal prison for organizing a scheme that paid workers to solicit elderly and low-income residents for information used to fraudulently bill government medical programs. 39-year old Patrick Siado of Houston, … Read More
DALLAS (CN) — Two anonymous sources claim that Republican Texas Attorney General Ken Paxton had an affair with a woman whom he later helped get a job with a campaign donor who is tied to criminal corruption allegations against him. … Read More
Two more senior aides to Texas Attorney General Ken Paxton have been fired weeks after top deputies accused him of criminal wrongdoing — marking four such terminations in just a few weeks. David Maxwell, the agency’s director of law enforcement, … Read More
Millions of Americans are delaying dental appointments over concerns about coronavirus infection, and that’s likely to continue to trigger higher fees for patients, job cuts for workers and fewer family practices. When the pandemic began, essentially all dentists temporarily shut … Read More
Medtronic USA Inc. has agreed to pay more than $9 million to resolve allegations of kickbacks and failure to fully report payments made to a neurosurgeon, the US Department of Justice (DOJ) has announced. The settlement will include $8.1 million … Read More
Texas Attorney General Ken Paxton has faced scrutiny in recent weeks after some of his aides accused him of authorizing an investigation to benefit Austin developer Nate Paul, a Paxton associate beset by bankruptcies and legal troubles. Now, documents obtained … Read More
Texas Attorney General Ken Paxton’s office has sidelined four of the seven senior aides who weeks ago told law enforcement they believed Paxton had committed bribery and abuse of office — firing two and placing two more on leave — … Read More
A Cypress doctor was indicted by a federal grand jury on a single count of conspiracy to commit health care fraud. Fatima Sayeed appeared before Magistrate Judge Christina A. Bryan on Oct. 16 by video, where federal prosecutors allege she … Read More
DALLAS (CBSDFW.COM/AP) – Another top deputy to Texas Attorney General Ken Paxton is leaving his agency, continuing the exodus of lawyers who earlier this month accused the Republican of crimes including bribery and abuse of office. Darren McCarty, the deputy … Read More
The Department of Justice Criminal Division today announced a historic nationwide enforcement action involving 345 charged defendants across 51 federal districts, including the Eastern District of Texas. In conjunction with the takedown, CMS Center for Program Integrity announced that it … Read More
A second whistleblower has been fired from the Texas attorney general’s office after reporting his boss, Texas Attorney General Ken Paxton, to law enforcement for crimes including bribery and abuse of office, according to a former senior official with the … Read More
There are no indications that audits of healthcare entities by government payers are slowing down – if anything, the ramping up of audit operations that was hinted at a short while ago has indeed materialized. Commercial payers are moving just … Read More
Four more Texas health care executives are charged in a multimillion-dollar billing scheme that already has resulted in a guilty plea from the CEO of a Texas hospital. A federal grand jury has indicted Steven Berglund, Aaron Cerpanya, Adam Gardner … Read More
SAN ANTONIO – Two people have been charged in connection with a health care fraud scheme by a federal grand jury in San Antonio, according to the U.S. Attorney’s Office for the Western District of Texas. Officials said authorities arrested … Read More
The Office of Inspector General recovered nearly $121 million this quarter, capping off a record year for the OIG. For the fiscal year, recoveries were more than $503 million, the most ever collected in a single year. In addition, we … Read More
Indiana Attorney General Curtis Hill said Wednesday that the sentencing of a Fort Wayne woman demonstrates the seriousness with which authorities view the crime of health care fraud in connection with the Medicaid program. After pleading guilty to health care … Read More
In a case that could provide a cautionary tale for clinical laboratories, a federal whistleblower lawsuit alleges that Cigna, through its HealthSpring subsidiary, “received billions in overpayments from the federal government” in a scheme involving the insurer’s Medicare Advantage plans. … Read More
In his first interview since top aides accused him of official misconduct, Texas Attorney General Ken Paxton said he was about to place his second in command, Jeff Mateer, on investigative leave before Mateer quit on Oct. 2. Paxton, speaking … Read More
Two Ocean Springs men are facing up to 10 years in prison and $250,000 fines after admitting Wednesday they accepted kickbacks in an $18 million healthcare fraud scheme involving prescription compound pain creams. Dempsey Bryan Levi and Jeffrey Wayne Rollins … Read More
