The owner of a home health agency in Dallas has been sentenced to 17 years in prison for his role in the nation’s largest home health care fraud scheme in history—a nearly $400 million scam, the Justice Department announced Tuesday. … Read More
Senate Republicans may provide higher federal funding to states with low Medicaid costs in their health care bill. The proposal under consideration gets to the heart of a key sticking point in the ongoing GOP discussions to overhaul the U.S. … Read More
HARTFORD, Conn. (Legal Newsline) — Connecticut Attorney General George Jepsen announced June 6 that a Stamford-based dentist, Georgy Betser, his wife, Irina Betser, and their companies will forfeit $755,956.30 and be excluded from participation in the state’s Medicaid program for … Read More
The owner of a Dallas-based home health care services company was sentenced to 17 and a half years in prison for his role in a health care fraud conspiracy. Wilbert James Veasey Jr., the owner of Apple of Your Eye … Read More
What does it take to become a priority in the Texas Legislature? As someone who provides nursing home care for the state’s frail and elderly, I often wonder why my residents and their caregivers never seems to be a priority … Read More
A purchasing official for Child Protective Services has resigned after a state investigation concluded she had a conflict interest when her husband took a job with a nonprofit that had multimillion-dollar contracts with the state. Patrick Crimmins, spokesman for the … Read More
Federal Medicaid dollars are spent by the states. The Health and Human Services Department requires states to have Medicaid Fraud Control Units that hunt for theft or patient abuse. And they do get results. Richard Stern is the director of … Read More
MCALLEN (KFXV) — In federal court, five others were charged for a health care fraud scheme they orchestrated. According to court documents, 41-year-old, Maria Teresa Paz Garza received a 144-month sentence for committing health care fraud, and aggravated identity theft … Read More
BOISE — A Fruitland woman will serve five years in prison for her role in health-care fraud and aggravated identity theft. Cherie R. Dillon, 62, of Fruitland, was sentenced Wednesday to five years in prison to be followed by three … Read More
Two former Southwest Utah Public Health Department officers have been charged with conspiring to file false Medicaid claims with the Utah state government following a months-long investigation into the agency’s financial practices. Todd Alan Stirling, 51, and Russell Ammon Hinton, … Read More
(Mankato, MN) – A 51-year-old Mankato woman who ran a massive Medicaid scam has been sentenced to one year in jail, which she can serve on work release. Rebecca Swanson was also ordered to pay restitution of around $600,000 and … Read More
Citing “a clear and immediate danger” to public health and safety, the Alaska Board of Dental Examiners suspended Anchorage dentist Seth Lookhart’s license on Thursday while an investigation continues into his patient care. Online records show that Lookhart’s license to … Read More
EpiPen has been in the news ever since last year’s outcry over the discovery that its maker, Mylan, hiked the price 550% for the auto-injected emergency allergy treatment. The list price for an EpiPen two-pack is $609. The device and … Read More
A College Station woman has been indicted by a Brazos County grand jury after authorities say she fraudulently collected several thousand dollars in Medicaid and SNAP food benefits. According to a grand jury indictment, Kendra Alisa Sterling, 28, was arrested … Read More
WASHINGTON — President Donald Trump pledged on the campaign trail to leave Medicaid untouched. But in his first major budget proposal, the president has laid out a plan to reduce Medicaid spending by more than $600 billion over the next … Read More
Almost 7% of dentists in the U.S. are associated with dental service/support organizations (DSOs), according to a recent ADA Health Policy Institute report. However, there’s no readily available list of which are the largest of these DSOs. DrBicuspid.com presents our … Read More
President Trump’s recent 2018 budget proposal, which includes roughly $800 billion in cuts to Medicaid over the next decade, has led to howls of outrage from Democrats. Senate Minority Leader Chuck Schumer, D-N.Y., said last week that the cuts would “carry … Read More
Wisconsin is preparing to recast its Medicaid program in ways that no state has ever done, requiring low-income adults to undergo drug screening to qualify for health coverage and setting time limits on assistance unless they work or train for … Read More
Austin: For the second session in a row, lawmakers largely ignored Gov. Greg Abbott’s emergency call for ethics reform. After a modest reform package cleared the Senate early in the session (SB 14), lawmakers splintered it into six separate bills … Read More
SAVANNAH, GA – Barbara Wallace, 52, of Savannah, Georgia, was sentenced by Senior United States District William T. Moore, Jr. yesterday to 41 months in prison for her role in a scheme to defraud Medicaid. Judge Moore also ordered Wallace … Read More
Virginia has not adequately secured its Medicaid data and information systems, according to an HHS Office of Inspector General report.The Virginia Department of Medical Assistance Services, which manages the state’s Medicaid program, uses an outside contractor to operate its claims … Read More
President Trump has long promised not to cut Medicaid, Medicare and Social Security. But in his budget released on Tuesday, he proposes making massive cuts to Medicaid. Mr. Trump is proposing to cut $610 billion from Medicaid benefits. This could … Read More
Each year the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) releases its annual Medicaid Fraud Compliance Performance Report. There is much to learn from this compendium of information provided by 50 Medicaid Fraud … Read More
A Lincoln woman is accused of stealing more than $9,000 in payroll from Medicaid by allegedly lying about the amount of time she worked with two patients.The Nebraska Medicaid Fraud and Patient Abuse Unit received information in January 2016 that … Read More
ASHLAND, Ky. (AP) — Before Barack Obama’s health care law, about 17 percent of patients in the King’s Daughters Health System were paid for by the government-run Medicaid program. Today, after the law added 400,000 people to Kentucky’s rolls, Medicaid … Read More
A Poughkeepsie woman was sentenced to five years of probation and paid $113,584 in restitution in connection with charges that she filed timesheets for Medicaid services that were never provided.In February, Tina Gabel, 59, pleaded guilty to third-degree grand larceny, … Read More
A chiropractor who owns and operates four clinics in southwest Michigan faces a hearing Friday on two felony charges for allegedly receiving illegal Medicaid reimbursements for two products he prescribed to low-income patients.Ahad Lotfi, 53, of Lawton, Mich., west of … Read More
WASHINGTON — Senate negotiators, meeting stiff resistance to the House’s plans to sharply reduce the scope and reach of Medicaid, are discussing a compromise that would maintain the program’s expansion under the Affordable Care Act but subject that larger version … Read More
State Sen. Carlos Uresti, accused of misleading a former client who invested in a company in which Uresti has a financial stake, was indicted Tuesday by a federal grand jury on 11 charges over his involvement in the alleged investment Ponzi scheme, … Read More
Attorneys general from around that nation have asked the Trump administration to allow them to use federal funds meant for their Medicaid fraud units to combat elder abuse.On Wednesday, 38 state attorneys general sent a letter to HHS Secretary Tom … Read More
SALISBURY, Md. — Two hours before sunrise, Dee Matello joined the line outside the Wicomico Civic Center, where hundreds of people in hoodies, heavy coats and wool blankets braced against a bitter wind.Inside, reclining dental chairs were arrayed in neat … Read More
Four years after Texas gave up millions of dollars in federal Medicaid funds so it could ban Planned Parenthood from participating in a family planning program for low-income women, the state is asking the Trump administration for the money back. … Read More
The Trump administration has given states three extra years to carry out plans for helping elderly and disabled people receive Medicaid services without being forced to go into nursing homes. Federal standards requiring states find ways of delivering care to … Read More
A Bryan woman is accused of defrauding the state for between $5,000 and $60,000 dollars in Medicaid and state SNAP food benefits. 40 year old Christina Ayala was indicted by a Brazos County grand jury on two charges. Both are … Read More
Texas’ top health care fraud investigator resigned Wednesday night, the result of a news report that revealed he was “moonlighting as a federal contractor to provide consulting services and counsel to the government of Iraq.” The Austin American-Statesman reported Thursday … Read More
Stuart W. Bowen Jr., the inspector general for the Texas Health and Human Services Commission, resigned last night amid questions from Texas Monthly about his role in getting Iraq removed from President Trump’s ban on travel from Middle Eastern nations. … Read More
Acting U.S. Attorney Duane A. Evans announced that on May 9th, after over four weeks of trial, a federal jury returned guilty verdicts against six individuals charged with committing approximately $13,655,094 in Medicare fraud. Specifically, HENRY EVANS, age 71, was … Read More
Washington, DC—The National Association of Attorneys General (NAAG) sent a letter today urging the U.S. government to change its policy so that state attorneys general could use federal funds to investigate and prosecute a wider range of Medicaid abuse and … Read More
Department of Health and Human Services Secretary Tom Price, M.D., called the Medicaid program “broken” and said it needed a stronger focus on fighting fraud and waste during a House subcommittee hearing in late March. Price told lawmakers one of … Read More
WASHINGTON — In a stunning reversal of momentum, Republicans salvaged long-held ambitions to unwind former President Obama’s 2010 health care law, passing a major overhaul in the U.S. House of Representatives on Thursday afternoon. Republicans found legislative success on Thursday … Read More
