Rick Perry, the former Texas governor under consideration for a spot in President-elect Donald Trump’s cabinet, faces questions over a potential conflict of interest due to his service on the board of a company building an oil pipeline delayed by protests. … Read More
Former Gov. Rick Perry, fresh off a meeting with President-elect Donald Trump, returned Tuesday to “Dancing with the Stars” for its season finale. Perry, who was eliminated from the ABC show in September, came back to join rapper Vanilla Ice … Read More
The North Carolina Department of Health and Human Services (State agency) claimed Federal Medicaid reimbursement for some nonemergency medical transportation (NEMT) services that did not comply with Federal or State requirements. Of the 200 sample items, 82 complied with Federal … Read More
Pfizer (PFE -0.6%) takes exception to the release of Medicaid rebate data to state lawmakers by the Texas Health and Human Services Commission. The agency, which initially said no, acquiesced after the Texas Attorney General determined that the release would … Read More
On Donald Trump’s victory Republicans in Congress are primed for an ambitious agenda, and not a moment too soon. One immediate problem is ObamaCare’s expansion of Medicaid, which has seen enrollment at least twice as high as advertised.Most of the … Read More
Zwanger-Pesiri Radiology will pay more than $10 million in a settlement over Medicare and Medicaid fraud the firm committed.Attorney General Eric T. Schneiderman and United States Attorney Robert L. Capers announced Wednesday that Zwanger & Pesiri Radiology Group, LLP, Zwanger … Read More
As the next president begins to plan for America’s future health care needs, including the Medicaid safety net that catches and takes care of the poor, Donald Trump might be called the new kid on the “block.”That sobriquet stems from … Read More
Massachusetts auditor Suzanne Bump’s office identified $15.45 million in public benefits fraud in fiscal 2016, a 12 percent increase over last year, according to an annual report released Tuesday.”This is not an indication of more fraud, but that we are … Read More
FBI and Drug Enforcement Administration agents were seen going in and out of Family Medicine in the 1600 block of Callaghan Road taking pictures.More News HeadlinesArrest made in robbery of NW Side pizza delivery manSuspect linked to theft of tires, … Read More
A former Medicare provider who owned an ambulance company has been found guilty of engaging in organized crime after deceiving dozens of mentally disabled patients and attempting to steal more than $1.3 million through fraudulent Medicare and Medicaid programs, the … Read More
RICHMOND — A new report suggests that when it comes to oral health, Virginia has room for improvement. The state earned a C+ on a new report card released by the Virginia Oral Health Coalition, which was compiled by examining data … Read More
A metro Atlanta dentist has pleaded guilty to defrauding the Georgia Medicaid program of nearly $1 million. Dr. Oluwatoyin Solarin, who had offices in Doraville and Duluth, had some employees of her Care Dental practice back-date claims for patients whose … Read More
Millions of low-income Americans on Medicaid could lose their health coverage if President-elect Donald Trump and a Republican-controlled Congress follow through on GOP proposals to cut spending in the state-federal insurance program. The biggest risk for Medicaid beneficiaries comes from … Read More
The New York State Department of Health claimed Federal Medicaid reimbursement for dental services billed by a New York City dentist that did not comply with certain Federal and State requirements. Of the 100 randomly selected claims that we reviewed, … Read More
No sooner had Donald Trump shocked the political world by winning the presidency than Texas Republicans turned to a new discussion: How much influence will the Lone Star State have in the next White House? Throughout his campaign, Trump cultivated … Read More
Medicaid Commissioner Stephanie Azar urged lawmakers not to abandon a plan to change to a system of managed patient care, a sweeping change that might be in jeopardy because of uncertain funding. The Legislature’s contract review committee today temporarily blocked … Read More
Last year, the Texas legislature approved a $350 million cut in Medicaid reimbursement rates to early childhood intervention therapists and providers. The cuts, made to help balance a billion dollars in property tax relief, affect the most vulnerable Texas children … Read More
A recently published proposed rule expands the functions and responsibilities of state Medicaid Fraud Control Units (MFCUs). The rule was issued by the Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) on Sept. 20 … Read More
Significant and persistent compliance, payment and fraud vulnerabilities exist within the Medicaid program that covers home care for elderly and disabled people, according to a recent report from HHS’ Office of Inspector General. In the report, the OIG highlighted some … Read More
MIAMI (AP) — A fall 2017 trial date is set for a South Florida businessman accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme.Court records show a Miami federal judge on Wednesday scheduled 48-year-old Philip Esformes’ trial for … Read More
PULASKI COUNTY (KATV) — A 33-year-old Malvern woman was arrested for more than $700 in Medicaid fraud. Marquita Morgan faces a charge of Medicaid fraud. She is accused of billing more than $700 for services she didn’t receive in 2015, … Read More
Lawyers for Texas Attorney General Ken Paxton are no longer asking to have a state securities fraud case against him dismissed, moving him closer to a trial on the criminal charges. Paxton’s legal team confirmed Tuesday that it was getting … Read More
A group of physicians from around the state is suing federal health officials over a regulation that requires the doctors to repay some Medicaid reimbursements. Twenty-one primary care doctors are challenging how the U.S. Centers for Medicare and Medicaid Services … Read More
A Dallas doctor and businessman convicted of a health-care fraud conspiracy involving East Texas hospitals has been ordered to pay $1.22 million to the United States. Dr. Tariq Mahmood, a 65-year-old general practitioner from Cedar Hill, was found guilty in … Read More
Even as the share of children in Texas without health insurance continues to decline, the state still has nearly twice the national average, according to a new study. A Georgetown University Center for Children and Families report released Thursday found that Texas … Read More
SANTA FE, N.M. New Mexico is pursuing federal authority to charge medical co-payments and some other costs to patients enrolled in Medicaid health care for the poor and disabled, the state Human Services Department secretary told lawmakers on Wednesday.Secretary Brent … Read More
October 27, 2016 — A U.S. district court has ruled on October 26 that Propel Orthodontics has “disseminated false and misleading advertisements” for its tooth aligners, while granting a preliminary injunction against the company in favor of OrthoAccel Technologies.In the … Read More
Want to make some easy cash? Try defrauding Medicaid. It’s a booming business, according to the federal Centers for Medicare & Medicaid Services, which says the total amount of “improper payments” for Medicaid last year totaled more than $29 billion … Read More
HHSC ensures that policies are medically appropriate, patient-centered, transparent and based on the best available evidence. The agency’s medical and dental policies outline the types of procedures and treatments for which HHSC will pay for specific conditions. Medical practitioners, program … Read More
Overinflated promises being made for expansion of Texas’ Medicaid program remind us of two time-proven adages: “If it looks too good to be true, it probably is,” and “There ain’t no such thing as a free lunch.” Recent newspaper articles … Read More
Federal officials in recent years have increasingly worked to combat Medicare and Medicaid fraud.In fact, at the beginning of his second term, President Barack Obama made the issue a top priority, according to The Fiscal Times. Since then, there have … Read More
GRAND RAPIDS, MICH. (WZZM) – A former state lawmaker who pleaded guilty to health care fraud “considered himself beyond all reproach as a physician,’’ federal prosecutors said in asking that he be sentenced like any other person convicted of “serious … Read More
Mylan NV (NASDAQ:MYL) has agreed to pay $465 million to settle claims that the drug giant underpaid the federal government in rebates to Medicaid for its EpiPen allergy shot. However, the move is not enough. Senator Elizabeth Warren criticized the … Read More
In the latest chapter of the Obama administration’s crackdown on Medicare fraud, U.S. customs officials arrested a woman at the Dallas-Fort Worth International Airport last week who is accused of taking part in one of the biggest Medicare fraud schemes … Read More
States are beginning to turn to hospitals to cover the cost of Medicaid expansion once the federal match begins to drop next year.The Affordable Care Act provides 100% federal financing for those made newly eligible for Medicaid under the law. … Read More
Whoever wins this presidential election will have a lot of big decisions to make within their first year in office. One of those decisions is what to do about states, like Texas, that haven’t expanded Medicaid to more low income … Read More
ALBANY — The luxury rides that belonged to a crooked Bronx pill peddler can be yours for the right price.State officials are about to sell at auction a 2014 Maserati Gran Turismo and a 2014 BMW X6 seized by the … Read More
You can tell a lot about a person by a smile.A simple, straightforward, sincere smile can attract more than admiring looks. A smiling face tells people that you’re an outgoing and intelligent person worth getting to know.Beside showing off a … Read More
The U.S. Securities and Exchange Commission is not giving up on its case against Attorney General Ken Paxton. The commission filed amended civil charges against Paxton on Friday, two weeks after a federal judge dismissed the case. Paxton, who is also fighting similar criminal charges … Read More
Feeding on outrage sparked by the release of controversial undercover videos of Planned Parenthood officials, Gov. Greg Abbott vowed one year ago to cut off $3.1 million in Medicaid funding that the organization’s Texas affiliates receive to provide family planning … Read More
