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
TYLER, Texas – A Smith County couple has pleaded guilty to charges of health care fraud in the Eastern District of Texas announced Acting United States Attorney Brit Featherston today. Gerard Dengler, 61, and Suzanne Dengler, 52, of Tyler, Texas, … Read More
Law360, Dallas (April 24, 2017, 7:13 PM EDT) — Texas told the Texas Supreme Court on Friday that a trial judge rightly barred Xerox Corp. from trying to share the blame in a $1 billion civil Medicaid fraud suit by … Read More
April 24, 2017 — The ADA has agreed to pay almost $2 million to settle two discrimination charges filed against the association. The U.S. Equal Employment Opportunity Commission (EEOC) investigated charges that the association fired two employees in retaliation for … Read More
Many state Medicaid programs are trying to improve their data analytics and provider education to curb fraud and waste within the program — efforts recently criticized in a federal report — one official said this week.Dianne Hasselman, deputy executive director … Read More
The Texas Senate confirmed Charles Smith’s appointment on April 19 as the Health Human Services executive commissioner for a two-year term at the head of the state’s largest agency. Smith, a Childress native, oversees an agency of 53,000 employees that … Read More
Sherry Cook, the embattled executive director of the Texas Alcoholic Beverage Commission, is stepping down from her post amid a series of spending controversies at the agency. In a Tweet early Monday afternoon, Gov. Greg Abbott welcomed what his office … Read More
An Anchorage dentist and his office manager are facing charges of fraud over unnecessarily sedating patients and then charging Medicaid. The state’s Medicaid fraud unit on Monday filed a 17-count criminal complaint against Dr. Seth Lookhart and his office manager, … Read More
Texas is known for being an alluring place to live: a can-do attitude, economic growth, robust cities with expansive opportunity, and vast outdoor adventures are but a few of the reasons so many Americans choose to become Texans. However, the … Read More
Procurement Director Edward Armstrong must have a feeling of deja vu.Disclosure provisions in the state’s competitive bidding process have landed him in the hot seat again, this time as a defendant in a lawsuit filed last week by DSM USA … Read More
The Texas Health and Human Services Commission did not always claim Federal Medicaid reimbursement for managed care payments in compliance with Federal requirements. Of the 3,170 beneficiary matches in our review, 3,045 were assigned more than 1 Medicaid identification number. … Read More
The state’s top liquor regulator got “hazardous duty pay” — typically provided to state employees doing risky work — while attending alcohol industry conferences at fancy resorts in Hawaii, Florida and California, state records show. The reason: Sherry Cook was … Read More
A Boston company has asked a judge to overturn an Arkansas official’s decision that resulted in the firm losing a bid for a multimillion-dollar contract to manage dental benefits for Medicaid recipients. In a lawsuit filed Monday in Pulaski County … Read More
McALLEN — Five Valley residents have been charged with Medicare fraud and the payment of illegal kickbacks. According to the charging documents, each of the five individuals engaged in conspiracies to refer Medicare beneficiaries to a home health agency … Read More
BALTIMORE (AP) — Authorities say a Maryland doctor has paid $450,000 to the state to resolve allegations that she submitted false billing records to the Medicaid program. Officials say this week’s settlement with Dr. Sabiha Mohiuddin, who owns and operates … Read More
Can you imagine if state lawmakers wanted to tax private schools to balance the Texas public school budget? Texans would be outraged by such an absurd proposal. This outrageous scheme is precisely what some lawmakers want to do with nursing … Read More
WASHINGTON, DC, USA, March 30, 2017 /EINPresswire.com/ — The Texas Corporate Whistleblower Center is urging a medical doctor with proof any type of healthcare facility or company in Texas has been and is engaged in a significant scheme to overbill … Read More
Anna Ramirez-Ambriz, 55, entered a guilty plea on Friday to allegedly defrauding Texas Medicaid of more than $3 million, according to a news release. Ambriz is the owner of Compassionate Medical Supply, a medical equipment company in Edinburg. Between 2007 … Read More
The owner and operator of five Houston-area home health agencies pleaded guilty to conspiring to defraud Medicare and the State of Texas’s Medicaid-funded Home and Community-Based Service and Primary Home Care programs of more than $17 million. He also pleaded … Read More
Montpelier, Vt., – Dr. Marko Vujicic, Chief Economist & Vice President of the Health Policy Institute, a division of the American Dental Association, provided the latest analysis regarding access to dental care in Vermont. Speaking at the statehouse in Montpelier … Read More
In seeking to repeal and replace the Affordable Care Act, Health and Human Services Secretary Tom Price has said “one out of every three physicians in this nation aren’t seeing Medicaid patients.” House Speaker Paul Ryan said “more and more … Read More
Former patients of a Harrison Twp. dental office under investigation by the Ohio Attorney General’s Office for Medicaid fraud spoke out today.Agents with the state’s Medicaid Fraud Investigative Unit raided Dixie Dental and Denture, 3609 N. Dixie Drive, owned by … Read More
Government efforts to fight health-care fraud would get a $70 million boost under the Trump administration’s proposed budget blueprint for fiscal year 2018. The March 16 proposal would provide $751 million in discretionary funding for the Health Care Fraud and … Read More
MOREHEAD CITY, N.C. (WNCT)–The state accuses A Pefect Fit for You of defrauding it of more than $12 million through Medicaid claims without proper paperwork. The store’s owner, Margaret Gibson, is also accused by her former business partner, Shelley Bandy, … Read More
Governors are analyzing the House Republican bill to restructure Medicaid and phase out the Obamacare expansion of the program, and they don’t like what they see. That prompted four Republican governors from Medicaid expansion states—John Kasich of Ohio, Rick Snyder … Read More
If you’re poor and you want to keep your health insurance, you may have to go to work. That’s the message from Republican lawmakers who Monday night released a series of changes to their plan to overhaul the Affordable Care … Read More
It’s time to take control of Medicaid before it takes control of us. Unless we act — and there is little evidence that we will — Medicaid increasingly becomes another mechanism by which government skews spending toward the old and … Read More
