A Roxbury pharmacy has agreed to pay $309,000 over its failure to disclose a managing employee’s suspension from the New York State Medicaid program due to a criminal conviction, authorities said. Valley Pharmacy, in the Succasunna section of the township, … Read More
Antoine Skaff, 58, entered his guilty plea to health care fraud. Skaff also entered into a civil settlement with the U.S. Attorney’s Office, the Office of Inspector General for the U.S. Department of Health and Human Services, the West Virginia … Read More
Fraud is becoming a bigger threat to your retirement security — even if you think you’re too sharp to fall for a scam. One 2015 report estimated that older Americans lose $36.5 billion each year to financial scams and abuse. … Read More
The Mississippi Division of Medicaid recovered more than $8.6 million through audits of its medical claims in the fiscal year that ended June 30, according to a news release from the division Monday. “Recouping funds can result from a range … Read More
WASHINGTON — More than 1 in 4 cases of possible sexual and physical abuse against nursing home patients apparently went unreported to police, says a government audit that faults Medicare for failing to enforce a federal law requiring immediate notification. … Read More
The owner of a small chain of home health care agencies near Houston has been sentenced to decades behind bars for bilking Medicaid and Medicare out of millions of dollars. U.S. District Judge Sim Lake of the Southern District of … Read More
State and county authorities descended on a Laredo adult day care Wednesday morning as the patrons calmly played loteria inside the main hall. The Texas Attorney General’s Office and Webb County Precinct 1 Constable’s Office executed a search warrant at … Read More
JEFFERSON CITY, Mo. — Missouri Attorney General Josh Hawley Wednesday filed criminal charges against a Mount Vernon dentist for defrauding Medicaid. The complaint charges Dr. Thomas Alms of Mount Vernon committed three felony counts of Medicaid fraud, and one felony … Read More
A Charleston dentist on Monday pleaded guilty to federal charges that he falsely billed Medicaid for more than $700,000 in dental procedures he did not actually perform on his patients. Antoine Skaff, 58, pleaded guilty to health care fraud before … Read More
Conway, S.C. (WPDE) — A Conway dentist has been arrested for violating drug distribution laws and obtaining drugs for his own personal use. According to an arrest warrant, police say between May 9, 2016, and July 11, 2017, Richard H. … Read More
The owners of several Texas home health agencies pleaded guilty to a $60 million Medicare fraud plot and were sentenced to stays in federal prison. Dallas-based Healthcare Liaison Professionals owner Myrna Parcon and former doctor and part-owner Ransome Etindi pleaded guilty to … Read More
WORCESTER, MA – From the Massachusetts Attorney General: Attorney General Maura Healey announced today that her office has reached a settlement with a pediatric dentist in Springfield, returning $500,000 to the state’s Medicaid program (MassHealth) and resolving claims that the … Read More
DALLAS (AP) — A Dallas woman must serve 10 years in federal prison and repay $51 million in a health care services fraud case involving home visits. Myrna S. Parcon was sentenced Thursday in Dallas. Parcon pleaded guilty to conspiracy … Read More
A small pharmacy in Utah and a doctor’s office in Tennessee have been implicated in an alleged kickback scheme that used San Diego County Marines to defraud the military’s health insurance provider out of at least $67 million, according to … Read More
Two men admitted defrauding New Jersey state health benefits programs and other insurers out of $25 million by submitting fraudulent claims for medically unnecessary prescriptions. Matthew Tedesco, 42, a pharmaceutical sales representative from Linwood, N.J., and Robert Bessey, 43, of … Read More
Pharma companies are not doing well keeping their unscrupulous behavior quiet. Martin Shkreli’s high profile trial for increasing the price of the drug Daraprim from $13.5 to $750 per pill, and the complicated jury selection process, is making headlines. Now, … Read More
The owner of a string of Houston home health care clinics was sentenced to 40 years in federal prison Thursday for a brazen scheme involving more than $17 million in fraudulent Medicaid and Medicare billing. “I’m not here to pass … Read More
DALLAS – The U.S. government moved to seize the assets of Dallas attorney Tshombe Anderson after Anderson pled guilty Aug. 3 to conspiracy to commit health care fraud in a case that also involves four of his family members. The … Read More
AMARILLO, TX (KFDA) – A Bushland man has pleaded guilty to committing health care fraud. Thomas Roy Clark, 52, pleaded guilty today to one count of health care fraud after participating in a scheme to defraud insurance companies through the submission … Read More
A registered nurse and home health company owner has been convicted of conspiracy and multiple counts of healthcare fraud in a $20 million dollar scheme to defraud Medicare, the Department of Justice announced. Evelyn Mokwuah of Pearland, Texas was convicted … Read More
DALLAS (AP) — Two Fort Worth brothers have pleaded guilty to playing a role in an alleged $36 million fraud scheme involving unnecessary lab tests of saliva and urine that were billed to the U.S. military’s health care system. The … Read More
HOUSTON – The operator of a Houston home health agency has been sentenced to 75 years in prison for a $13 million Medicare fraud scheme. A federal judge in Houston sentenced Marie Neba on Friday. The 53-year-old Sugar Land, Texas, … Read More
A Dallas physician has been sentenced to 35 years in federal prison and ordered to pay more than $268 million in restitution for his role in a Medicare and Medicaid fraud conspiracy involving $357 million in billing for unnecessary home … Read More
A San Antonio pharmaceutical representative has been indicted in a health care fraud case alleging Tricare and private insurers were overbilled by $9.5 million. The 30-count indictment against Holly T. Blakely, 44, makes clear that she is not the only … Read More
Several ambulance services from across Texas are working to stave off a potential 10 percent cut to their Medicaid reimbursements. The Texas Health and Human Services Commission is planning to cut the amounts ambulance services can bill the government for … Read More
A 60-year-old Dallas-area doctor has been sentenced to 35 years in prison for helping defraud Medicare and Medicaid out of almost $375 million. A federal judge also ordered Dr. Jacques (ZHAWK) Roy on Wednesday to pay more than $268 million in restitution. … Read More
August 8, 2017 — The Texas attorney general has reached a $300,000 settlement agreement with Henry Schein over allegations of anticompetitive practices. A lawsuit alleged that Henry Schein violated state antitrust law by working with its competitors to prevent the … Read More
Texas, which has owned the distinction of having the largest uninsured population in the country, has earned another dubious honor. It’s now considered among the worst states in the country for health care. New analysis of the Best & Worst … Read More
August 7, 2017 — Technology company DentalXChange has partnered with Delta Dental of Colorado to launch a cobranded edition of the company’s DDS Enroll software. Dentists affiliated with Delta Dental will be able to complete credentialing requirements for multiple insurers … Read More
WASHINGTON – With the Republican-led Senate having failed to repeal the Affordable Health Care Act, Democrats are pressing Gov. Greg Abbott to reconsider his decision not to expand Texas’ Medicaid program. In a statement following a letter to the governor … Read More
MIAMI (CBSMiami) — A dentist in South Florida faces fraud charges for billing patients for work already covered under Medicaid. Dr. Fadi Yousef Qablawi, 39, targeted elderly patients with Medicaid by telling them their procedure would have to be paid … Read More
Dentists have a new challenge on their hands. According to a recent study, the majority of dental patients would not recommend doing business with their current dental provider. In an increasingly consumer-driven marketplace, this is problematic for both providers and … Read More
WASHINGTON – With the Republican-led Senate having failed to repeal the Affordable Health Care Act, Democrats are pressing Gov. Greg Abbott to reconsider his decision not to expand Texas’ Medicaid program. In a statement following a letter to the governor … Read More
A dozen years ago, Texas health care administrators hired a company to help determine when taxpayers should cover the cost of dental care for the state’s poorer residents, particularly children. The company, later acquired by the giant corporation Xerox, deployed … Read More
For years, Iowa dentists have complained about the low rate of payment they receive from the Medicaid program. When treating a Medicaid patient, dentists can typically expect to collect just 30 percent of what they’d normally receive for providing the … Read More
A Florida state healthcare official allegedly accepted bribes in exchange for helping a nursing home owner accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme keep his license, federal prosecutors said. Bertha Blanco, 66, faces federal criminal charges … Read More
Washington state will keep a small fraction of a $280 million national settlement involving a pharmaceutical company accused of committing fraud by promoting two drugs for unapproved cancer treatments. Source: Washington gets $368,000 under Medicaid fraud settlement / KHQ News
Investigators with the New Mexico Attorney General’s Office said they will pore over Medicaid bills with an eye for suspicious activity in an attempt to find Medicaid fraud throughout the state. Source: AG cracking down on Medicaid fraud, elder abuse … Read More
A registered nurse in Texas must serve four years in federal prison for her role in what prosecutors call a health care scam involving nearly $375 million in false claims. Charity Eleda of Rowlett (row-LET’) in North Texas was sentenced … Read More
The Fortuna resident who allegedly fraudulently ran Eel River Valley Dental using forged documents appeared in court Monday and has been charged with four felony counts. According to Humboldt County court records, Mazair, also known as Michael, Eshghipour allegedly committed … Read More
