EAST ST. LOUIS, Ill., July 31, 2020 /PRNewswire/ — A settlement has been proposed in a class action involving interest payments on physician and healthcare provider invoices for care governed by the Illinois Workers’ Compensation Act and arising under the … Read More
AUSTIN – Governor Greg Abbott today announced that the Texas Health and Human Services Commission (HHSC) is extending flexibilities to Medicaid and CHIP recipients and providers through October 23rd, 2020, as the state continues to combat the COVID-19 pandemic. These … Read More
Some consumers who thought they were getting a simple COVID-19 test instead got a surprise bill charging their insurance company thousands of dollars. The Texas Association of Health Plans called it a dangerous new trend from a small number of … Read More
Providers will now be reimbursed for counseling people on self-isolation after they get tested for COVID-19, CMS and the CDC said July 30. The incentive aims to slow the spread of COVID-19 from presymptomatic and asymptomatic individuals. The CDC said … Read More
As the COVID-19 pandemic escalated, many healthcare organizations quickly adopted digital solutions to address increased demands of their staff and clinical teams. Traditional forms of employee communication and patient engagement couldn’t scale and would no longer suffice. Technology solutions previously … Read More
On Thursday, state Attorney General Ashley Moody announced that Florida will receive millions of dollars following a massive multistate health care fraud investigation. Florida, along with 49 states, territories and the federal government, settled allegations of fraud against Universal Health … Read More
HATTIESBURG, Miss. (WDAM) – Three Pine Belt residents at the heart of a wide-spread fraud that bilked health-insurance providers out of more than a half billion dollars started serving federal prison terms Thursday after being sentenced in United Sates District … Read More
TALLAHASSEE, Florida, July 24 — Florida Attorney General Ashley Moody issued the following news release: Attorney General Ashley Moody announced that Florida will receive millions of dollars following a massive multistate health care fraud investigation. Florida, along with 49 states, territories and the federal government, settled allegations of fraud against Universal Health … Read More
The Southcentral Foundation has fired three dentists after an independent investigation found they had allegedly falsified health records. One of the dentists fired is the husband of the foundation’s president and chief executive officer. In a press release, the nonprofit … Read More
A federal grand jury in Maryland has indicted licensed dentist Edward T. Buford III, age 68, of Silver Spring, Maryland; his business partner Kasandra Vilchez-Duarte, age 44, of Fort Washington, Maryland; and Donnie Amis, age 63, of Washington, D.C. on … Read More
Under the prospective payment system (PPS), Medicare pays home health agencies (HHAs) for each 60 day episode of care that beneficiary receives, called a payment episode. During our audit period, if an HHA provided four or fewer visits in a … Read More
In a story related to another SIU post (see CrimeVoice July 14), here is the report of the other Bakersfield dental assistant’s arrest for fraud, according t0 the California Department of Insurance – “BAKERSFIELD, Calif. — Registered dental assistant Maria … Read More
A Bethlehem chiropractor pleaded guilty in federal court to fraudulently submitting $236,000 in health insurance claims for patients he didn’t see and days he didn’t work, authorities said. Nicholas Bufanio, 53, of Hellertown, who operated Community Chiropractic Inc. in Bethlehem … Read More
MADISON, Wis. – Attorney General Josh Kaul, and the Wisconsin Department of Health Services (DHS), today announced that Wisconsin and 27 other states and territories sued Mallinckrodt ARD LLC, formerly known as Mallinckrodt ARD Inc. and previously Questcor Pharmaceuticals Inc. … Read More
Over the course of the past five months, millions of American workers have lost their health insurance as the coronavirus pandemic has ignited a jobs bloodbath and threatened wide layers of the population with destitution. Ever since mid-March, the United … Read More
Sean McCaffity, one of the lawyers representing Joshua Lafountain in his qui tam action against 71 dentists and dental entities, lost the Democratic nomination for Texas’ 3rd Congressional District on July 14 to Lulu Seikaly, another Dallas lawyer who was … Read More
BOSTON – Massachusetts Attorney General Maura Healey announced today, July 16, her office has filed a complaint under the Massachusetts False Claims Act against major drug manufacturer Mallinckrodt ARD LLC for allegedly underpaying millions of dollars in rebates to the … Read More
Job loss stemming from the coronavirus stripped health insurance from an estimated 659,000 Texans between February and May, according to a new study. The analysis, published Tuesday by Families USA, a nonpartisan consumer advocacy group, found that 5.4 million laid-off … Read More
“BAKERSFIELD, Calif. — Registered dental assistant Maria Uranday, 40, was arraigned last week on multiple felony counts of insurance fraud, identity theft, and grand theft after allegedly falsifying insurance claims to AFLAC in order to receive undeserved payouts. An investigation … Read More
HAMILTON, N.J., July 14, 2020 /PRNewswire/ — P&R Dental Strategies, LLC, the premier dental insights company, today announced that it has been awarded a contract by the Department of Health & Human Services (HHS) to supply data to help identify … Read More
Texas Insider Report: AUSTIN, Texas – Congressman Roger Williams (R-TX-25) today applauded the Department of Health and Human Services’ (HHS) announcement of an additional $4 billion award for Texas health care providers impacted by COVID-19. The funds are provided under … Read More
The COVID-19 death rate data publicly reported in Texas may be skewed lower than the actual death rate, according to a report in the Houston Chronicle. Texas publicly reports just confirmed COVID-19 deaths, which means patients who die before undergoing … Read More
The gap between what hospitals actually spend to treat Medicaid patients and the Medicaid reimbursement amount for that care will get about $1 billion smaller in 2021. Texas Governor Greg Abbott announced on July 2 that, together with the Texas … Read More
In a Houston hotel room she shared with another traveling nurse her second night in town, Taylor Cummins thought about the months ahead of treating COVID-19 patients in one of the country’s hotspots for the virus. The registered nurse left … Read More
A pandemic of the novel coronavirus has now killed more than 552,000 people worldwide. Over 12.1 million people across the globe have been diagnosed with COVID-19, the disease caused by the new respiratory virus, according to data compiled by the … Read More
As the COVID-19 pandemic continues to ravage our communities and our economy on a scale that is difficult to quantify, many Texas companies—from energy to health care, tech to life sciences—have had to take the lifeline that was extended to … Read More
State officials have proposed cutting $133 million in health services from the current budget, whittling away dollars in women’s health, child abuse protection and services for adults and children with disabilities, according to advocates. The cuts are in response to … Read More
As health officials continue to urge people to wear masks in public, a dentist in Canada has shared a genius hack for making face masks fit better. Olivia Cui typically shares dental health tips and offers entertaining insight on what … Read More
With cases of the new coronavirus and related hospitalizations rising at alarming rates, Gov. Greg Abbott expanded his ban on elective medical procedures Thursday to cover more than 100 counties across much of the state. Surgeries and other procedures that … Read More
ASan Diego ventilator manufacturer agreed to pay more than $37 million in January to settle a civil lawsuit alleging it defrauded the federal government through illegal kickbacks to suppliers, admitting no guilt. Two months later, the U.S. Department of Health … Read More
RICHMOND, Va. — A Texas doctor agreed to pay more than $200,000 to settle allegations brought by the U.S. Attorney’s Office for the Eastern District of Texas that she violated the False Claims Act by taking kickbacks from True Health … Read More
Bibi Tasleyma Sattar, D.O., and her practice, Oakmont Wellness Center, PA, (collectively, “Dr. Sattar”) have agreed to pay $210,000 to resolve False Claims Act allegations involving accepting payments for patient referrals in violation of the Anti-Kickback Statute, as well as … Read More
RICHMOND, Va. (WWBT) – A Texas woman has pleaded guilty to defrauding the Virginia Medicaid Program out of more than $2.8 million. According to a release from Attorney G. Zachary Terwilliger, Katrina Lynch, 39, of Cypress, owned and operated A … Read More
An indictment filed by the United States claims a fire that destroyed a Texas orthopedist’s home was started to destroy evidence of a healthcare fraud scheme. In October 2017, a fire destroyed the $1.6 million Fort Worth home of Mark … Read More
A woman burned down her $1.6 million suburban Fort Worth mansion while trying to destroy documents from her husband’s health care clinic as authorities were investigating the couple for fraud, prosecutors allege. A seven-count federal indictment, filed June 17, charges … Read More
A Miami entrepreneur who led a rural hospital empire was charged in an indictment unsealed Monday in what federal prosecutors called a $1.4 billion fraudulent lab-billing scheme. In the indictment, prosecutors said Jorge A. Perez, 60, and nine others exploited … Read More
Before a camping and kayaking trip along the Texas Coast, Pam LeBlanc and Jimmy Harvey decided to get coronavirus tests. They wanted a bit more peace of mind before spending 13 days in close quarters along with three friends. The … Read More
New York: An Indian origin cardiologist and the administrator of her company have agreed to pay $400,000 to settle allegations that they submitted irregular billings to Medicare, the government health insurance programme for senior citizens, according to officials. Southern Texas … Read More
BEVERLY HILLS, CA — A Beverly Hills doctor and a woman investigators described as his wife, the owner of a Los Alamitos-based laboratory, are behind bars Wednesday on charges of stealing about $52 million in an alleged insurance fraud scheme. … Read More
Three Texas healthcare providers will face trial for conspiracy to distribute controlled substances and mail fraud, according to the Texas Department of Insurance – Division of Workers’ Compensation. On June 17, 2020, a federal grand jury returned indictments against Arlington-based … Read More
