medicaid fraud

LITTLE ROCK – Attorney General Leslie Rutledge announced Monday that Arkansas, as part of a national settlement, has resolved allegations that Avalign Technologies, Inc. and its subsidiary Instrumed International, Inc. (“Defendants”) violated the Federal and State False Claims Acts. The … Read More

BEAUMONT, Texas — A Beaumont counselor pleaded guilty Friday in federal court to health care fraud after overbilling Medicaid nearly $270,000. Douglas Duane Franklin, 59, pleaded guilty before U.S. Magistrate Judge Zack Hawthorn on Friday according to a news release … Read More

SOUTH BEND, Ind.—FBI agents were at South Bend Family Dentistry on Thursday morning. A spokesperson for the FBI’s Indianapolis Division confirmed that agents were serving a federal search warrant but did not provide any other information. Federal agents were coming … Read More

COLUMBIA, S.C. — South Carolina Attorney General Alan Wilson announced that nine people have been arrested after an 18-month investigation for allegations that they defrauded the South Carolina Medicaid Program. According to a release from the AG’s office, New Outlook … Read More

A man and his “marketing company” have been named in a five-count federal indictment for a scheme that paid workers to solicit elderly residents for information used to fraudulently bill government medical programs. Patrick Siado, of Texas, and his company, … Read More

CHARLESTON — A $700 million multi-state settlement to resolve allegations that the maker of Suboxone improperly marketed and promoted the drug in its distribution was announced on Thursday by the West Virginia Attorney General’s Office. It is the first settlement … Read More

Pine Creek Medical Center, assailed by unprofitability, failures in patient care and accusations of fraud, quietly shut down this past summer. Signs posted on the front doors of the 15-bed hospital said it had closed July 24 and directed anyone … Read More

LUBBOCK, Texas — On Tuesday, a federal judge partially unsealed a lawsuit against Covenant Health in which Dr. Howard Beck made allegations of Medicare and Medicaid fraud. In September 2016, Beck filed a Qui Tam lawsuit against Covenant. Qui Tam … Read More

Richmond and Burke county grand juries have returned eight indictments in a Medicaid fraud case involving suspects from across the country. A Richmond County grand jury Tuesday indicted Timothy Smith, Dylan Logsdon and Robert Garcia each on one count of … Read More

EDINBURG — Two men accused of defrauding Texas Medicaid nearly a decade ago entered not guilty pleas to charges of fraud Monday morning. Edinburg resident Osama Bachir Nahas, 64, faces four charges of Medicaid fraud while Pharr resident Gerardo Javier … Read More

A CMS rule expands its ability to revoke or deny providers’ position serving in federal networks in an effort to combat fraud in Medicare, Medicaid, and CHIP. “The provisions we are finalizing in this rule are necessary to address various … Read More

A Pharr man who has been entangled in allegations of defrauding Texas Medicaid was arrested again Thursday. Gerardo Javier Jackson, 51, is charged in an indictment issued Aug. 22 with a single count of Medicaid fraud. He’s accused, along with … Read More

An Edinburg doctor was arrested and released Friday on a combined $400,000 in bonds on four charges of Medicaid fraud. A Hidalgo County grand jury on Thursday indicted 64-year-old Osama Bachir Nahas on accusations he defrauded Texas Medicaid from Jan. … Read More

A 55-year-old Rockledge woman who Florida law enforcement authorities said bilked Medicaid out of $45,000 for in-home care not provided, was arrested Tuesday. Laura Leace, a participant in the Consumer Directed Care Plus program geared toward assisting people with disabilities, … Read More

A former auditor for Nebraska’s Medicaid office has been sentenced to 16 months in jail and ordered to pay nearly $277,000 in restitution after he pled guilty to benefit fraud. Craig Barnett became his father’s power of attorney in February … Read More

A former Warren dentist received a suspended prison sentence Tuesday for Medicaid fraud after making arrangements to pay about $136,032 in damages, restitution and fines within a week. John Steven Durmon, 60, had been charged with four counts of fraud … Read More

Comprehensive Pain and Headache Treatment Centers, LLC and its owner, Dr. Mark Thimineur, have entered into a civil settlement agreement with the federal and state governments to resolve allegations that they improperly billed the Medicare and Connecticut Medicaid programs. The … Read More

AUSTIN – Investigative work by the Medicaid Fraud Control Unit of Texas Attorney General Ken Paxton’s office helped the U.S. Department of Justice (DOJ) bring charges today against the director and two operators of a Houston-based medical clinic for their … Read More

Washington, D.C.—Yesterday, the U.S. House of Representatives passed the Medicaid Patient Abuse Prevention Act (H.R. 233), bipartisan legislation introduced by Reps. Tim Walberg (R-MI) and Peter Welch (D-VT). The Walberg-authored legislation was incorporated into H.R. 3253, which includes a series … Read More

Akron native Frank Lazzerini, once a respected doctor with a thriving practice in Jackson Township, left the Stark County Courthouse on Tuesday afternoon as a felon. After hearing testimony for nearly five weeks, a Common Pleas Court jury backed the … Read More

Charged with Medicaid fraud in a separate case, a former healthcare executive pleaded guilty in federal court Wednesday to committing a conspiracy to bribe an Arkansas state senator. In exchange for the bribes, then-Arkansas State Senator Jeremy Hutchinson allegedly influenced … Read More

A Mira Mesa dentist was charged Tuesday with insurance fraud for falsifying hundreds of root canal claims to scam insurance companies out of nearly $600,000, the San Diego County District Attorney’s Office said. April Rose Ambrosio, 58, was charged with … Read More

A Vanderburgh County judge on Wednesday handed down an 820-day sentence to an Evansville certified nurse aide (CNA) who pleaded guilty to three counts of neglect of a dependent following an investigation by the Attorney General’s Medicaid Fraud Control Unit … Read More

Richard “Nate” Schott, the ex-Murfreesboro dentist who grifted nearly $1 million from insurance companies, is headed to prison for 33 months. U.S. District Court Judge Waverly Crenshaw handed down the sentence Friday morning before a courtroom crowd of about 30 … Read More

The attorney general’s office has added a misdemeanor Medicaid fraud charge to its actions against Chirie Bazzelle, owner and CEO of New Beginnings Health Services, a Medicaid-financed services provider to children. Bazzelle, 46, is accused in this case of giving … Read More

A Lake Township man is facing federal allegations he defrauded Medicare and Medicaid out of roughly $2 million. Thomas G. O’Lear, 55, has been indicted in U.S. District Court in Cleveland on 25 counts of health care fraud and a … Read More

OKLAHOMA CITY – OKLAHOMA HEART HOSPITAL, LLC, AND OKLAHOMA HEART HOSPITAL SOUTH, LLC, have agreed to pay $2,800,000 to settle civil claims stemming from allegations that they submitted false claims to Medicaid, announced First Assistant U.S. Attorney Robert J. Troester. … Read More

RALEIGH — A Mebane dentist has agreed to pay nearly $730,000 to the state in a Medicaid fraud case, N.C. Attorney General Josh Stein said in a news release. The settlement against Zhanying Guo and her dental practice, Complete Dental … Read More

A former teacher who owned a home health agency has been sentenced to serve 18 months in jail for stealing about $2.5 million from the Massachusetts Medicaid program. The state attorney general’s office says 48-year-old Hellen Kiago was sentenced last … Read More

A former Massachusetts teacher has been convicted of stealing $2.5 million from the state’s Medicaid program. Attorney General Maura Healey announced Wednesday that Hellen Kiago, of Sturbridge, fraudulently billed MassHealth through a home health agency she owned, Lifestream Healthcare Alliance. … Read More

State officials in Texas and Louisiana have launched multiple probes into the Cenikor Foundation following an investigation by Reveal that found the prominent drug rehab has turned patients into an unpaid labor force for private companies. Reveal from The Center … Read More

In a Lowndes County federal courtroom a jury handed down guilty verdicts for conspiracy to commit healthcare fraud and six counts of healthcare fraud, according to court records. Moss faces a maximum penalty of 10 years in prison, a $250,000 … Read More

A doctor from Morristown was found guilty on charges related to a $30 million Medicare and Medicaid scheme, authorities said on Thursday. Paul Mathieu, 53, posed as the owner of three medical clinics in Brooklyn for six years while billing … Read More