SAN ANTONIO, Aug. 9, 2018 /PRNewswire-PRWeb/ — Dr. Edgardo Gonzalez, Lead Dentist at Monarch Dental® in San Antonio, TX recently traveled to Asunción, Paraguay for a week-long international outpost trip to deliver dental care in impoverished communities. Along with a … Read More
New York’s battle with its cashless tolling vendor may soon get some federal attention. More than two months of tolling outages in Florida and problems elsewhere, including New York, led two U.S. senators to ask the Federal Trade Commission for … Read More
AstraZeneca was accused of engaging in false and misleading marketing schemes at a time when the company was under the strict obligations of a 2010 federal “corporate integrity agreement” resulting from prior allegations of Medicaid fraud, a press release states. … Read More
DALLAS–(BUSINESS WIRE)–Today, the national law firm of Baron & Budd announced that AstraZeneca has agreed to pay $110 million to settle two whistleblower lawsuits brought by the State of Texas under the Texas Medicaid Fraud Prevention Act (“TMFPA”). The first … Read More
Prime Healthcare Services, Inc., Prime Healthcare Foundation, Inc., and Prime Healthcare Management, Inc. (collectively Prime), and Prime’s Founder and Chief Executive Officer, Dr. Prem Reddy, have agreed to pay the United States $65 million to settle allegations that 14 Prime … Read More
Story from March 14, 2018 The Michigan Court of Appeals on Wednesday tossed a Florida company’s lawsuit challenging a multimillion-dollar children’s Medicaid dental benefits management contract the state awarded Blue Cross Blue Shield of Michigan. Fort Lauderdale-based MCNA Insurance Co. … Read More
Medicaid is now paying Iowa dentists a mere $27 to clean patients’ teeth, according to the executive director of the Iowa Dental Association. That pathetically low reimbursement — likely less than the cost of an oil change or decent lawn … Read More
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced that physician MUSTAK Y. VAID was sentenced today by U.S. District Judge Lorna G. Schofield to 18 months in prison for his participation in a … Read More
DALLAS–(BUSINESS WIRE)–Today, the national law firm of Baron & Budd announced that Endo Pharmaceuticals Inc. (“Endo”) has agreed to pay $13.25 million to settle a whistleblower lawsuit brought by the State of Texas under the Texas Medicaid Fraud Prevention Act … Read More
NEWARK, N.J. – A Somerset, New Jersey, man was sentenced today to 20 months in prison for defrauding the Veterans Affairs program by billing for services he never performed, U.S. Attorney Craig Carpenito announced. Apostolos Voudouris, 44, previously pleaded guilty … Read More
RALEIGH – The United States Attorney for the Eastern District of North Carolina, Robert J. Higdon, Jr., announced today that a federal court awarded a nearly $3 million judgment against Compassionate Home Care Services, Inc., Carol Anders, and Ryan Santiago … Read More
Senator Bill Nelson is in Tampa on Monday calling for a federal investigation into the company responsible for “mismanaging the SunPass toll system.” Senator Nelson and Senator Gary Peters (D-MI) sent a letter to the Federal Trade Commission Chairman, Joseph … Read More
TOKYO — Fujifilm Holdings is continuing its attempts to acquire Xerox, but the Japanese company has denied it will make any compromise, even if it fails in the bid. The acquisition of the major U.S. office equipment maker is “not … Read More
The Centers for Medicare & Medicaid Services (CMS) isn’t doing enough to prevent payment risks in Medicaid managed care organizations (MCOs), according to a new report from the Government Accountability Office (GAO). According to the report (PDF), CMS hasn’t initiated … Read More
Less than a month after the largest federal health care fraud sting in American history, details of the operation show how massive the problem is. As part of the operation, more than 600 people were charged with committing more than … Read More
A Brownsville-area speech pathologist won’t have to go to prison, but has been ordered to pay almost a half-million dollars in restitution stemming from a scheme to defraud Texas Medicaid. The punishment against 67-year-old Georgia Phillips was handed down Tuesday, … Read More
BROWNSVILLE — Hundreds of medical professionals will converge this week in South Texas to offer free health care services during Operation Lone Star. Now in its 20th year, the annual event coordinated by the Texas Department of State Health Services … Read More
We knew there were serious problems with Texas Health and Human Services Commission handling of billions of dollars in contracts for health care and social services, but new audits show this mess of a system is even worse than we … Read More
The 127 health workers enduring mold and mustiness in a state agency building are getting some relief: They’re moving out next week. Starting Monday, Texas Department of State Health Services employees whose job it is to analyze data on tuberculosis, … Read More
Newly eligible Medicare beneficiaries may face a confusing process as they begin their quests to enroll. Navigating the parts, costs and coverage options can overwhelm even the savviest beneficiaries. Below, we answer seven major questions about Medicare and its coverage. … Read More
AUSTIN — Long lines surrounded the Travis High School gym Friday morning in Austin as people waited to get free dental appointments. A mobile clinic called “Texas Mission of Mercy” opened their doors at 5:30 a.m. Friday. The Texas Dental … Read More
AUSTIN — Texas’ sprawling bureaucracy for regulating health care and providing social services is vulnerable to a “perception of impropriety” because it routinely lets individual contracting personnel open bids on their own, without any witnesses, a new internal audit says. … Read More
A rapidly growing elderly population needs more access to oral health care services, according to a recent report. But progress is being made in some areas to better care for aging teeth. The report A State of Decay, Vol. IV … Read More
Only one word comes to mind looking at photos that Texas Department of State Health Services employees took of gray, green and brown-hued mold dotting their office furniture: Ew. As of July 10, as many as 127 state workers have … Read More
A new state audit has found that Texas’ health agency may have awarded more than $3.4 billion in contracts erroneously — another scandal at an agency that has lost six of its top leaders over the last several months in … Read More
In a much-anticipated decision in Family Rehab., Inc. v. Azar, Federal Judge Kinkeade enjoined the Centers for Medicare & Medicaid Services (“CMS”) from withholding Medicare payments to effectuate the recoupment of the alleged overpayments until an administrative law judge (“ALJ”) … Read More
There’s a thing Texas Republican leadership could do. It would save the state money, keep its residents healthier and make Texas a more attractive place to live. It’s never going to happen, however, unless the politics in the state change … Read More
Thousands of members of the NAACP are in San Antonio this week for the organization’s annual convention. Texas Public Radio’s Joey Palacios reports the gathering will focus on curbing racism and increasing voter turnout. NAACP President Derrick Johnson says the tone of … Read More
FLORHAM PARK, N.J., July 16, 2018 /PRNewswire/ — Conduent Incorporated (NYSE: CNDT), a digital interactions company, announced today it has been awarded a three-year contract, worth approximately $1 billion, renewing digital interactions services with a U.S.-based Fortune 50 company. “Platform-driven … Read More
Attorney General Ken Paxton commended the Medicaid Fraud Control Unit of his office for its role in the arrests of 12 Houston-area individuals as part of the largest health care fraud enforcement action in American history. Attorney General Paxton’s Medicaid … Read More
A Texas couple is considering divorce so they can afford the health care bills for their 6-year-old child, WFAA reports. Maria and Jake Grey have been married for nine years, but have recently come to the conclusion that—at least on … Read More
It’s a shame that Texas’ political leadership likes to cast shade on a signature achievement of a fellow Texan who became one of America’s most productive presidents. They should instead heed the words of Lyndon B. Johnson, who in signing … Read More
At least two state lawmakers are fed up with the private company that handles New York’s cashless tolling system. Assemblyman Tom Abinanti and Sen. David Carlucci want to cancel the Thruway Authority’s 3-year, $72 million contract with Conduent after a … Read More
Construction of the new Texas Health and Human Services headquarters on the John H. Winters campus in Austin will begin at the end of June. The nine-story building, scheduled to be completed in 2020, will allow HHS to give up … Read More
Health Quest Systems, Inc. and certain of its subsidiaries (Health Quest) and Putnam Health Center (PHC) have agreed to pay over $14.7 million to resolve allegations of violations of the False Claims Act by submitting inflated and otherwise ineligible claims … Read More
Irving-based HMS Healthcare has settled litigation with the founders of a business it bought in 2010, agreeing to pay plaintiffs Dennis Demetre and Lori Lewis $20 million. In November, a New York jury ruled in favor of Demetre and Lewis’ … Read More
AUSTIN, Texas (Legal Newsline) – The Supreme Court of Texas denied a petition for writ of mandamus relief in an appeal involving Xerox Corp. and Xerox State Healthcare and allegations of Medicaid fraud. Justice Eva Guzman authored the June 22 … Read More
AUSTIN, Texas (Legal Newsline) – The Supreme Court of Texas affirmed an appeals court’s decision in a case involving alleged Medicaid fraud, stating that it does not have interlocutory jurisdiction in the matter. The court concluded that it did not … Read More
The DOJ’s national healthcare fraud takedown resulted in charges against more than 600 defendants, including 165 doctors, nurses and other licensed medical professionals. Here’s the rundown on defendants charged in districts across the U.S.: Source: Providers from 35 states charged in … Read More
TEXAS – In a nationwide take down, 12 people from Houston have been arrested in the largest health care fraud action in U.S. history, according to the Texas attorney general’s office. A total of 601 people were arrested in the … Read More
