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
Attorney General Leslie Rutledge has announced the arrest of Chirie Bazzelle, owner of New Beginnings Behavioral Health Services, on Medicaid fraud charges related in part to contracts with others arrested previously in the sprawling public corruption probe involving Preferred Family … Read More
Federal prosecutors say it was a symbiotic relationship. Dental clinic owner Pamela Van Drie needed a dentist who would go along with her plan to defraud Medicaid without asking too many questions. And dentist James Dye needed a dental office … Read More
KANSAS CITY, KS (KCTV) – Last week, a Kansas City woman last week pleaded guilty to Medicaid fraud and related charges according to Kansas Attorney General Derek Schmidt. Jennifer Lynn Jones, 28, pleaded guilty in Wyandotte County District Court to … Read More
COVINGTON, LA (WAFB) – The Louisiana Department of Health (LDH) may have a legal battle on its hands if it wants thousands of dollars improperly billed to Medicaid back. State auditors interviewed employees at Convington-based Walk With Me Community Improvement … Read More
Conduent said a “noisy resignation” letter from a disgruntled board member was part of a takeover attempt by Carl Icahn that was aimed at replacing current chairman William Parrett. Board member Michael Nevin resigned immediately from the IT service provider’s … Read More
A federal jury found a South Florida health care facility owner guilty today for his role in the largest health care fraud scheme ever charged by the Justice Department, involving over $1.3 billion in fraudulent claims to Medicare and Medicaid … Read More
Bristol-Myers Squibb Co. didn’t demonstrate that a federal court erred in allowing a whistleblower to proceed with claims that the company engaged in Medicaid fraud under the False Claims Act. Ronald J. Streck adequately pled the falsity and knowledge elements … Read More
PUEBLO COUNTY, Colo. – A Pueblo County couple is facing theft charges after they defrauded the Colorado Medicaid program out of hundreds of thousands of dollars, according to the Colorado Attorney General’s Office. The office said Frank Palcic and Melanie … Read More
Attorney General Bob Ferguson recently announced that CareOne Dental Corporation and its owners will pay $1 million over allegations they repeatedly billed Medicaid for non-covered services and for services the company didn’t provide, the second-largest resolution of an in-state Medicaid … Read More
BATON ROUGE — Five Louisiana Medicaid recipients, including a St. Martinville man, have been arrested on charges related to welfare fraud after investigations by the Louisiana Bureau of Investigation, the Louisiana Department of Health and the Louisiana Legislative Auditor’s Office. … Read More
MOUNT VERNON, Mo. — A Mount Vernon dentist pleaded guilty Wednesday to Medicaid fraud in a plea agreement requiring him to repay the program $200,000 and surrender his license to practice dentistry for five years. Thomas H. Alms Jr., 63, … Read More
CHARLOTTE, N.C. – A woman is accused of running a Medicaid fraud scheme that took millions of dollars in medical care away from North Carolina families who deserve it. It involved many false claims to Medicaid and, experts said, ultimately … Read More
NEW HAVEN, Conn. (AP) – A former Connecticut doctor who prosecutors say bilked Medicaid out of nearly $5 million and spent hundreds of thousands of dollars on women and luxury goods is facing sentencing. Ramil Mansourov is set to be … Read More
The owner of a Washington, D.C.-based durable medical equipment company was sentenced to 42 months in prison today for her role in a scheme to submit $9.8 million in fraudulent claims to Medicaid. Assistant Attorney General Brian A. Benczkowski of … Read More
CLEVELAND COUNTY, Okla. – A Moore woman is accused of using her former employer’s physician number to call-in and fill dozens of prescriptions for herself. Christine Galliher is charged with nine counts of obtaining a controlled substance by forgery, and … Read More
NEWARK, N.J. – An Essex County, New Jersey, man was sentenced today to 50 months in prison for his role in a conspiracy to defraud New Jersey state benefit programs, , U.S. Attorney Craig Carpenito announced. Brian Catanzarite, 43, a … Read More
BOISE, Idaho (KLIX) – A Boise woman has been sentenced after pleading guilty to Medicaid provider fraud. Kimberley A. Reed, 51, pleaded guilty in January and on Friday received a two-year unified sentence, according to Idaho Attorney General Lawrence Wasden. … Read More
FRANKFORT, Ky. (WTVQ) –A Prestonsburg woman was sentenced and ordered to repay the state Medicaid program more than $12,000 after pleading guilty to theft charges and engaging in a scheme to defraud the program, according to the state attorney general’s … Read More
McALLEN — The owner and an employee of a now-closed durable medical equipment, or DME business each made their first appearance before a federal magistrate judge in connection with healthcare fraud charges. Standing before U.S. Magistrate J. Scott Hacker a … Read More
LITTLE ROCK (KATV) — A North Little Rock dentist was arrested Monday on accusations of Medicaid fraud, authorities announced. The state attorney general’s office said in a news release that Dr. Brian Moore, 47, of Maumelle, is accused of billing … Read More
CALHOUN, La. – (2/28/19)–A family owned business that offers therapy services for children with behavioral issues, swarmed with police. It happened yesterday at ABA Therapy Solutions in Calhoun. A day later, we learn why. “ABA Therapy Solutions is under investigation … Read More
McALLEN, Texas – Two Rio Grande Valley residents have been taken into custody for submitting fraudulent claims for payment to Texas Medicaid for durable medical equipment (DME) supplies that were never delivered to Medicaid beneficiaries, announced U.S. Attorney Ryan K. … Read More
When Attorney General Ken Paxton announced last week he had settled a giant Medicaid fraud case on behalf of Texas, he trumpeted how much money the state would collect from Xerox. “AG Paxton Recovers Record $236 Million for Texas in … Read More
HAMPTON, Va. — A federal grand jury Thursday indicted a Hampton man and woman with conspiracy, health care fraud, false statements, and aggravated identity theft. According to allegations in the indictment, Maurice Moody, 40, and Dena Major, 48, conspired to … Read More
This morning Attorney General Ken Paxton announced that the State of Texas had settled its $2 billion Medicaid fraud lawsuit against Xerox/Conduent, its former Medicaid administrator from 2004 to 2012, for $235 million. The settlement over Xerox/Conduent’s inadequate orthodontic prior authorization … Read More
AUSTIN, Texas (CN) – Xerox and a former subsidiary agreed Tuesday to pay Texas over $235 million to settle claims they oversaw the payment of fraudulent Medicaid dental claims for over seven years. Texas Attorney General Ken Paxton said the … Read More
McALLEN — The owner of a durable medical equipment company accused of scamming more than $4 million in Medicaid funds will not be sentenced for another two months, court records show. Anna Ramirez-Ambriz was scheduled to be sentenced earlier this … Read More
The Walgreens Boots Alliance has agreed to pay $269.2 million to settle two separate whistleblower lawsuits accusing it of civil fraud for overbilling federal healthcare programs for over ten years. Insulin Settlement In the first suit, the chain will pay … Read More
