There are the days Lilia Valadez spends in pain — vomiting, pacing, aching, screaming — and the days she spends anticipating when the pain might come again, keeping her from work and potentially requiring an emergency room visit she can’t … Read More
Hospital leaders say restrictions on their property tax revenue growth could force them to scale back services. BY SHANNON NAJMABADI Squeezed by Medicare cuts and a growing number of uninsured patients, rural hospital districts in Texas are worried that the Legislature’s … Read More
A former pharmaceutical representative has pleaded guilty in Texas to a role in an $8 million health care fraud scheme that netted her over $1 million, according to U.S. Attorney John Bash and FBI Special Agent in Charge Christopher Combs, … Read More
CLEVELAND COUNTY, Okla. – A Moore woman is accused of using her former employer’s physician number to call-in and fill dozens of prescriptions for herself. Christine Galliher is charged with nine counts of obtaining a controlled substance by forgery, and … Read More
Two Rio Grande Valley residents have been taken into custody for submitting fraudulent claims for payment to Texas Medicaid for durable medical equipment (DME) supplies that were never delivered to Medicaid beneficiaries, announced U.S. Attorney Ryan K. Patrick. A federal … Read More
NEWARK, N.J. – An Essex County, New Jersey, man was sentenced today to 50 months in prison for his role in a conspiracy to defraud New Jersey state benefit programs, , U.S. Attorney Craig Carpenito announced. Brian Catanzarite, 43, a … Read More
BOISE, Idaho (KLIX) – A Boise woman has been sentenced after pleading guilty to Medicaid provider fraud. Kimberley A. Reed, 51, pleaded guilty in January and on Friday received a two-year unified sentence, according to Idaho Attorney General Lawrence Wasden. … Read More
FRANKFORT, Ky. (WTVQ) –A Prestonsburg woman was sentenced and ordered to repay the state Medicaid program more than $12,000 after pleading guilty to theft charges and engaging in a scheme to defraud the program, according to the state attorney general’s … Read More
March 5, 2019 — Medical device company Align Technology has announced that it will close its Invisalign stores after an arbitrator ruled that it violated its noncompete agreement with SmileDirectClub (SDC). The decision also prohibits Align Technology from providing certain … Read More
McALLEN — The owner and an employee of a now-closed durable medical equipment, or DME business each made their first appearance before a federal magistrate judge in connection with healthcare fraud charges. Standing before U.S. Magistrate J. Scott Hacker a … Read More
Republished from the Texas Tribune With more and more Texans seeking relief from shock medical bills, two prominent lawmakers — one Republican, one Democrat — are pushing far-reaching legislation that would bar emergency care providers from sending surprise bills to … Read More
LITTLE ROCK (KATV) — A North Little Rock dentist was arrested Monday on accusations of Medicaid fraud, authorities announced. The state attorney general’s office said in a news release that Dr. Brian Moore, 47, of Maumelle, is accused of billing … Read More
CALHOUN, La. – (2/28/19)–A family owned business that offers therapy services for children with behavioral issues, swarmed with police. It happened yesterday at ABA Therapy Solutions in Calhoun. A day later, we learn why. “ABA Therapy Solutions is under investigation … Read More
McALLEN, Texas – Two Rio Grande Valley residents have been taken into custody for submitting fraudulent claims for payment to Texas Medicaid for durable medical equipment (DME) supplies that were never delivered to Medicaid beneficiaries, announced U.S. Attorney Ryan K. … Read More
AUSTIN — Lawmakers from both parties are rolling out bills this month to overhaul the Texas Medicaid system, introducing protections for vulnerable patients who are denied treatments, increasing state oversight and signaling a crackdown on health care corporations that get richer by … Read More
When Attorney General Ken Paxton announced last week he had settled a giant Medicaid fraud case on behalf of Texas, he trumpeted how much money the state would collect from Xerox. “AG Paxton Recovers Record $236 Million for Texas in … Read More
A home health services company owner and a co-conspirator, both Miami, Florida residents, were sentenced to prison today for their roles in a $8.6 million health care fraud scheme. Assistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal … Read More
HOUSTON – A federal jury has convicted a 50-year-old internal medicine doctor and 47-year-old hospital owner of conspiracy to commit health care fraud, 17 counts of health care fraud and three counts of money laundering, announced U.S. Attorney Ryan K. … Read More
A former San Antonio pharmaceutical representative has pleaded guilty to her role in an $8.8 million healthcare fraud scheme, according to news website My San Antonio. Holly Blakely, 45, initially was charged in a 30-count indictment alleging she paid more … Read More
HAMPTON, Va. — A federal grand jury Thursday indicted a Hampton man and woman with conspiracy, health care fraud, false statements, and aggravated identity theft. According to allegations in the indictment, Maurice Moody, 40, and Dena Major, 48, conspired to … Read More
SPRINGFIELD, Mo. – U.S. Attorney Tim Garrison and Missouri Attorney General Eric Schmitt announced today that a Marshfield, Mo., couple has been convicted by a federal trial jury of multiple fraud schemes totaling more than $1 million that involved Medicaid … Read More
wo days after paying Texas $236 million to settle Medicaid fraud charges, New Jersey-based Conduent Inc. announced it has won a $232 million, four-year contract with the Indiana Family and Social Services Administration. The pact extends a contract that began … Read More
AUSTIN, Texas (CN) – Xerox and a former subsidiary agreed Tuesday to pay Texas over $235 million to settle claims they oversaw the payment of fraudulent Medicaid dental claims for over seven years. Texas Attorney General Ken Paxton said the … Read More
McALLEN — The owner of a durable medical equipment company accused of scamming more than $4 million in Medicaid funds will not be sentenced for another two months, court records show. Anna Ramirez-Ambriz was scheduled to be sentenced earlier this … Read More
The Walgreens Boots Alliance has agreed to pay $269.2 million to settle two separate whistleblower lawsuits accusing it of civil fraud for overbilling federal healthcare programs for over ten years. Insulin Settlement In the first suit, the chain will pay … Read More
Idaho, Maine, Nebraska and Utah voters approved Medicaid expansion through ballot initiatives. Now Texas legislators have filed bills for a vote over whether the state should expand coverage for the joint federal-state health insurance program. Olga Kauffman is tired of … Read More
Thousands of Texans seeking government help with surprise medical bills were hit with another shock last year: a clogged-up consumer protection bureaucracy. A massive backlog that began last summer left state regulators unable to provide timely help to the thousands … Read More
COLUMBUS, Ohio (WKBN) – Ohio Attorney General Dave Yost announced on Thursday that Ohio will be joining other states in settling two whistleblower lawsuits against Walgreens Boots Alliance. According to a press release, the agreements settle allegations that Walgreens knowingly … Read More
In a series of legal cases played out over several years, the three largest distributors of dental supplies in the U.S. will be hit collectively with an estimated $100 million or more in settlement and legal fees to resolve alleged … Read More
(FOX 47) – Minnesota Attorney General Keith Ellison’s office wins the largest medicaid fraud case in the state’s history. A Hennepin County District Judge found that Lillian Richardson and Bridgett Burell illegally took $7.7 million from the state’s medicaid program. … Read More
The U.S. Department of Justice (DOJ) made nearly half a dozen announcements at the end of January regarding Medicare fraud involving home health agencies. Among them: A Miami woman was sentenced to more than four years in prison on Jan. … Read More
A Texas lawmaker has authored a bill that would require photographs and names on Lone Star cards to help fight fraud. Dade Phelan (R-Beaumont) filed HB 1250 on Jan. 31. The bill requires that the name and photograph of the … Read More
CLEVELAND (AP) — Federal authorities say six people have been indicted in a $48 million Medicaid fraud scheme, including a man who was viewed as a local superhero for his car collection and daring feats for charity. Thirty-eight-year-old Ryan Sheridan … Read More
Union General Hospital in Blairsville, Ga., agreed to pay $5 million to resolve allegations that it violated the False Claims Act and Stark Law, according to the Department of Justice. The U.S. Attorney’s Office for the Northern District of Georgia … Read More
AUGUSTA, Ga. (WJBF) – A Martinez man has been sentenced following a case regarding healthcare fraud. 32-year-old Jonathan Duane Austin is sentenced to 30 months in federal prison and has been ordered to pay $1,473,377.51 in restitution for defrauding government … Read More
There are many reasons why people don’t go to the dentist—and some factors, like not having one close by or at affordable prices—can depend on where you live. For example, some states, like Idaho, have few dentists per capita, making … Read More
HOUSTON – The University of Texas Health Science Center (UTHSC) at Houston has paid $2,396,769.76 to resolve allegations that its Human Genetics Center misappropriated grant funds the National Institutes of Health (NIH) provided for research related to the impact of … Read More
FORT PIERCE — The federal charges accusing a Stuart obstetrician and gynecologist are the result of a former employee chasing a whistleblower reward and an overeager rookie investigator, her attorney said as the trial opened Tuesday in federal court. Dr. … Read More
A North Little Rock dentist was arrested Monday on charges accusing him of billing the state Medicaid program for services he didn’t provide, Attorney General Leslie Rutledge said. Brian Moore, 47, is accused of billing the program for about $9,000 … Read More
A Los Angeles, CA-based dentist pleaded guilty on Thursday to a March 2018 indictment charging him with health care fraud arising from his false and fraudulent billings for crowns and fillings, which were never provided to patients. Assistant Attorney General … Read More
