LUBBOCK, Texas — Covenant Health filed its side of the story in court records Monday after Dr. Howard Beck brought allegations of Medicare and Medicaid fraud. Dr. Beck’s lawsuit became public in September after the United States government chose to … Read More
A Brandon dentist has filed a class-action lawsuit against Delta Dental, the nation’s largest dental insurer, accusing the company of price-fixing and conspiracy to lower the amount paid to dentists. Dentist William Dickey filed the lawsuit Wednesday in federal court … Read More
Many in Texas are keeping a close eye on the Republican bid to replace the Affordable Care Act. One of the big changes is how it would affect low-income people, seniors, and people with disabilities who get help from Medicaid. … Read More
LINCOLN — National and state dental leaders are raising the alarm over Medicaid audits that they say threaten the care of young children in Nebraska with mouths full of rotting teeth. The audits led one pediatric dentist in Lincoln to … Read More
Ten former NFL players, including some high-profile names, were charged Thursday by the Justice Department for allegedly defrauding the league’s healthcare benefits program of millions of dollars through an elaborate fraud scheme. The Justice Department announced the charges in a … Read More
MORRISTOWN, NJ – A 54-year-old Morristown doctor will spend four years in prison for his participation in a scheme to defraud Medicare and Medicaid of $30 million dollars, according to United States Attorney for the Southern District of New York … Read More
McALLEN — Two former employees of the Centers for Arthritis and Osteoporosis, the clinic owned by Dr. Jorge Zamora Quezada, testified Thursday about what they perceived to be unusual practices at the clinic as part of the ongoing trial. Zamora … Read More
ALBUQUERQUE, N.M. — Over 200,000 people in New Mexico don’t have health insurance, but many actually qualify for financial help. “If people don’t have health insurance they won’t get access to health care, they won’t necessarily know what diagnosis they … Read More
The percentage of Texas’ youngest children without health insurance has increased since 2016, according to a report released Wednesday. In 2018, 8.3% of Texas children under age 6 — a total of 198,014 — were uninsured. The rate has grown … Read More
A top Trump health appointee sought to have taxpayers reimburse her for the costs of jewelry, clothing and other possessions, including a $5,900 Ivanka Trump-brand pendant, that were stolen while in her luggage during a work-related trip, according to documents … Read More
(CNN) — As Veronica Wilhelm lay sedated in a dental chair, her dentist was being filmed riding a hoverboard while he extracted her tooth. Wilhelm says she didn’t know about the hoverboard, or that her procedure in July 2016 was … Read More
Washington, DC—America’s taxpayers could see nearly $5.9 billion in misspent Medicare, Medicaid, and other health and human service program dollars returned to the government as the result of fiscal year 2019 work by the Department of Health and Human Services, … Read More
It has now been a common belief that opioid addiction begins at the doctor’s office. It’s hard to dispute that assertion now as New Jersey physician Morris “Moishe” Starkman has been guilty of said act. The former Bordentown, NJ doctor … Read More
The US Department of Justice (“DOJ”) has recently announced several healthcare fraud enforcement actions, charging 149 people for fraud schemes resulting in hundreds of millions of dollars in unlawful billings to the federal government healthcare programs. These charges resulted from … Read More
Dr. Ian Reynolds, 71, of Friendswood, Texas, agreed to pay the United States $300,000 to resolve False Claims Act allegations that he accepted illegal kickback payments from OK Compounding, LLC, announced U.S. Attorney Trent Shores. This is the twelfth kickback … Read More
Why OIG Did This Review Outlier claim payments are based on hospital cost reports from the latest cost-reporting period for which the cost report is either settled as final or tentatively settled. The Centers for Medicare & Medicaid Services (CMS) … Read More
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
