The U.S. Department of Justice announced last week that a Massachusetts-based laboratory has agreed to pay nearly $27 million to settle claims that they improperly billed federal healthcare programs for lab tests. The settlement resolves allegations that the company, Laboratory … Read More
LITTLE ROCK – Attorney General Leslie Rutledge announced Monday that Arkansas, as part of a national settlement, has resolved allegations that Avalign Technologies, Inc. and its subsidiary Instrumed International, Inc. (“Defendants”) violated the Federal and State False Claims Acts. The … Read More
SACRAMENTO, Calif., Nov. 26, 2019 /PRNewswire/ — An important whistleblower lawsuit (Case No. D-1-GN-16-005758 (TX)) has resulted in a $63.5 million recovery for the state of Texas. The lawsuit was initially filed as a qui tam action on behalf of … Read More
The Texas Education Agency has been ordered to pay more than $200,000 to a former employee who was fired after she complained about a multimillion-dollar, no-bid contract the agency had awarded. A judge for the U.S. Department of Education ruled on Friday … Read More
McALLEN – A 46-year-old local man has been ordered to federal prison following his conviction of health care fraud and aggravated identity theft, announced U.S. Attorney Ryan K. Patrick. Eduardo Carrillo, of McAllen, pleaded guilty Nov. 20, 2015. Today, U.S. … Read More
Philip Esformes, the Miami Beach healthcare mogul sentenced to 20 years in a massive Medicare fraud case, must pay more than $44 million to the taxpayer-funded program and U.S. government, a federal judge decided Thursday. Esformes, found guilty of various … Read More
McALLEN — Nearly a year after his co-defendant was sentenced to prison, a Peñitas pharmacist remains free after a court reset his sentencing hearing for a third time, records show. On Monday, U.S. District Judge Randy Crane granted a motion … Read More
Nearly two dozen people have been charged by Florida’s Office of Statewide Prosecution for their involvement in a multi-million dollar Medicare fraud scheme that took place at two Miami pharmacies over the course of several years. A total of 19 … Read More
BEAUMONT, Texas — A Beaumont counselor pleaded guilty Friday in federal court to health care fraud after overbilling Medicaid nearly $270,000. Douglas Duane Franklin, 59, pleaded guilty before U.S. Magistrate Judge Zack Hawthorn on Friday according to a news release … Read More
SOUTH BEND, Ind.—FBI agents were at South Bend Family Dentistry on Thursday morning. A spokesperson for the FBI’s Indianapolis Division confirmed that agents were serving a federal search warrant but did not provide any other information. Federal agents were coming … Read More
SACRAMENTO, Calif. — The founder and former CEO of a chain of Central Valley rural health clinics will sell 13 properties, remitting proceeds to the United States and the state of California, to resolve allegations that she submitted millions of … Read More
COLUMBIA, S.C. — South Carolina Attorney General Alan Wilson announced that nine people have been arrested after an 18-month investigation for allegations that they defrauded the South Carolina Medicaid Program. According to a release from the AG’s office, New Outlook … Read More
LOS ALGODONES, Mexico ― The billboards that line the stretch of California’s Interstate 8 headed toward Los Algodones make it clear travelers are not on their way to a typical tourism destination. The signs that beckon Americans as they head … Read More
A bond hearing is set for Nov. 18 for the former mayor of Rio Bravo who was found guilty Wednesday of participating in a $150 million health care fraud scheme. Laredoan Franciso Peña, 82, Merida Group director, former Laredo Medical … Read More
A man and his “marketing company” have been named in a five-count federal indictment for a scheme that paid workers to solicit elderly residents for information used to fraudulently bill government medical programs. Patrick Siado, of Texas, and his company, … Read More
The Texas Health and Human Services Commission was hit with a $1.6 million fine for violating federal privacy and security rules. The U.S. Department of Health and Human Services (HHS) Office for Civil Rights imposed the civil money penalty after … Read More
Those 18 and older have the opportunity to receive free dental care during Dentistry from the Heart in Fort Myers. Lee Dental Care Practice Owner DR. Paul Uliasz, who started Dentistry from the Heart at Lee Dental Care, said this … Read More
NEW HAVEN, Conn. (WTNH) — As a thank you to our veterans, the Connecticut State Dental Association is offering them their services for free on Friday. At the Levy Dental Group in New Haven, servicemen and women can come in … Read More
President Donald Trump announced his intention Friday to nominate Stephen Hahn, the chief medical officer of MD Anderson Cancer Center in Houston, as the next commissioner of the Food and Drug Administration. But in a surprise move, acting FDA Commissioner … Read More
Six current and former NYPD employees, which included one cop and five 911 operators, were arrested by the feds as authorities smashed a massive $18 million New York insurance fraud operation, the Daily News learned Thursday. Police Officer Yaniris Deleon … Read More
MCALLEN (KGBT) — A former Texas mayor and two others associated with a Texas health care company were found guilty on Wednesday for their roles in a $150 million healthcare fraud scheme. According to U.S. Attorney Ryan K. Patrick, one … Read More
The founder of an area health care clinic is headed to prison for orchestrating a fraud that netted her more than $6 million over three years. Sandra Haar, 59, of Merced, was sentenced on Monday by U.S. District Judge Lawrence … Read More
Clarksville, Tenn. (CLARKSVILLENOW) – Residents in the Clarksville community and surrounding areas will have the opportunity to receive free dental services at Armed Forces Dental Center. Dr. Hung Tran and the team at Armed Forces Dental Center will be improving … Read More
A ruling on a Texas-led lawsuit challenging the Affordable Care Act is imminent. The suit is a Republican-backed effort to eliminate the entire law after Congress failed to do so in 2017. Because state leaders asked that the lawsuit essentially … Read More
10-21-2019 | Audit (A-06-16-01001) | Complete Report | Report in Brief Why OIG Did This Review Federal regulations effective July 1, 2011, prohibit Medicaid payments for services related to treating provider-preventable conditions (PPCs). The Centers for Medicare & Medicaid Services … Read More
OAK BROOK, Ill. (WLS) — Several patients of a dentist in Oak Brook, who dug deep into their pockets to pay for crowns and implants, said they were left unable to eat normally or even smile after his work. Dr. … Read More
Last night, Texas State Medicaid Director, Stephanie Muth, announced that she would be stepping down from her position in the agency. Muth began her career in Texas government nearly 20 years ago as a Legislative Aide in the Texas House … Read More
With the plea of an 80-year-old Houston man, all 14 charged in the scam involving Continuum Healthcare and its various health centers have been convicted, announced U.S. Attorney Ryan K. Patrick. Bobby Rouse admitted to conspiring to pay and receive … Read More
Health insurers Anthem, Cigna Corp. and Molina Healthcare stand to lose millions in premium revenue after losing ground in the Texas Medicaid Star+Plus program, a managed care program worth nearly $10 billion in premium revenue for managed care organizations. The … Read More
Texas saw a significant increase in the number of uninsured children in a two-year period, according to a new analysis of U.S. Census Bureau data. Researchers at the Georgetown University Center for Children and Families found 121,000 fewer children in … Read More
A South Texas doctor has been indicted on charges that he prescribed opioid painkillers to two patients without legitimate medical reasons, resulting in their deaths. A federal grand jury in Del Rio added the charges last week against Alfonso Luevano, … Read More
CHARLESTON — A $700 million multi-state settlement to resolve allegations that the maker of Suboxone improperly marketed and promoted the drug in its distribution was announced on Thursday by the West Virginia Attorney General’s Office. It is the first settlement … Read More
HOUSTON, TX — With the plea of a 46-year-old Houston man, 13 people now stand convicted in the healthcare scam involving Continuum Healthcare and its various health centers in the Houston area, announced U.S. Attorney Ryan K. Patrick. Steven Houseworth … Read More
Pine Creek Medical Center, assailed by unprofitability, failures in patient care and accusations of fraud, quietly shut down this past summer. Signs posted on the front doors of the 15-bed hospital said it had closed July 24 and directed anyone … Read More
Currently, there is a drastic decline in the number of health insured children in the United States. Sources report that Medicaid is dropping more and more of its clients without hesitation due to unrealistic paperwork deadlines. The New York Times … Read More
HOUSTON, TEXAS — Police confiscated dental equipment from a west Houston office and arrested two people who were allegedly practicing dentistry without a license. Carolina Flores-Paz, 36, and Enrique Eduardo Alvarez, 47, were arrested Monday at Delta Image Makers in … Read More
HARLINGEN — On a daily basis, pediatric dentist Linda Burke works toward helping children gain healthy teeth and beautiful smiles. Soon, she will begin using her years of experience and skills toward monitoring and ensuring the health of patients throughout … Read More
SAN MARCOS – Texas State University has received a $785,000 grant from the National Institute of Justice to improve understanding of age-related skeletal and dental traits, which will aid in the identification of unknown human remains. Kate Spradley, a professor … Read More
Group Health Cooperative in Seattle, one of the United States’ oldest and most respected nonprofit health insurance plans, is accused of bilking Medicare out of millions of dollars in a federal whistleblower case. Teresa Ross, a former medical billing manager … Read More
