An affiliate of skilled nursing provider Centers Health Care paid a $1.65 million settlement to the New York State and federal governments over allegations that its managed Medicaid plan falsely billed for services. The Centers Plan for Healthy Living LLC … Read More
An Arlington doctor pleaded guilty Tuesday in federal court to a conspiracy charge in what government officials say was a $60 million scheme to defraud Medicare. Dr. Charles R. Leach, 66, is one of 16 defendants in the criminal case … Read More
North Providence, R.I.: Dentist Lawrence P. Stephenson, 72, of Lincoln, R.I., has pleaded guilty to tax evasion, admitting that he diverted and failed to report as much as $1.2 million dollars in payments made to his business. Stephenson admitted that … Read More
Post Acute Medical, LLC, a Pennsylvania-based operator of long‑term care and rehabilitation hospitals across the country, and certain affiliated entities through which the company operates its facilities (collectively, “PAM”), have agreed to pay the United States, Texas, and Louisiana a … Read More
An Arlington, Texas physician has reached a plea deal for his role in a hospice scheme that defrauded Medicare and Medicaid out of $60 million, in part by signing blank prescriptions, according to the Dallas Morning News. Charles Raymond Leach, … Read More
A former counselor in south Alabama was arrested Monday after state authorities said she defrauded the Alabama Medicaid Agency out of thousands of dollars for work she never performed. Attorney General Steve Marshall announced the arrest of Yvonne Bradford-Porterfield. The … Read More
As a Houston Texan, Marlon McCree scored his first career touchdown on a 95-yard interception return against the Tennessee Titans. Perhaps the most memorable play in the safety’s long NFL career was as a San Diego Charger, when he intercepted … Read More
Palding County, Ga. – Just one day after Channel 2 Actions News reported on a woman accused of posing as a dentist for at least seven years, investigators said they have gotten more than a dozen new complaints. Source: Patient … Read More
LITTLE ROCK, Ark. (News Release)- Attorney General Leslie Rutledge announced Tuesday the arrest of the former Director of Billing at Preferred Family Health. Helen Balding, 47, of New Braunfels, Texas, formerly of Fayetteville, is accused of making false statements knowingly … Read More
A former Preferred Family Healthcare billing director arrested on two felony counts of Medicaid fraud received pay from an Arkansas lobbying firm and a “separate” mental health care provider, according to court documents. Helen Balding, 47, arrested Monday, was described … Read More
The former CEO of Merced, Calif.-based Horisons Unlimited, a nonprofit chain of health clinics, pleaded guilty Aug. 13 to healthcare fraud and conspiracy to receive kickbacks, according to the Department of Justice. Sandra Haar, the former CEO, orchestrated a scheme … Read More
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced that physician MUSTAK Y. VAID was sentenced today by U.S. District Judge Lorna G. Schofield to 18 months in prison for his participation in a … Read More
NEWARK, N.J. – A Somerset, New Jersey, man was sentenced today to 20 months in prison for defrauding the Veterans Affairs program by billing for services he never performed, U.S. Attorney Craig Carpenito announced. Apostolos Voudouris, 44, previously pleaded guilty … Read More
RALEIGH – The United States Attorney for the Eastern District of North Carolina, Robert J. Higdon, Jr., announced today that a federal court awarded a nearly $3 million judgment against Compassionate Home Care Services, Inc., Carol Anders, and Ryan Santiago … Read More
Less than a month after the largest federal health care fraud sting in American history, details of the operation show how massive the problem is. As part of the operation, more than 600 people were charged with committing more than … Read More
A Brownsville-area speech pathologist won’t have to go to prison, but has been ordered to pay almost a half-million dollars in restitution stemming from a scheme to defraud Texas Medicaid. The punishment against 67-year-old Georgia Phillips was handed down Tuesday, … Read More
The new audit is yet another scandal at an agency plagued by contracting woes. Six of the commission’s leaders have left in the last several months. BY EMMA PLATOFF Republished from the Texas Tribune A new state audit has found that … Read More
FLORHAM PARK, N.J., July 16, 2018 /PRNewswire/ — Conduent Incorporated (NYSE: CNDT), a digital interactions company, announced today it has been awarded a three-year contract, worth approximately $1 billion, renewing digital interactions services with a U.S.-based Fortune 50 company. “Platform-driven … Read More
Attorney General Ken Paxton commended the Medicaid Fraud Control Unit of his office for its role in the arrests of 12 Houston-area individuals as part of the largest health care fraud enforcement action in American history. Attorney General Paxton’s Medicaid … Read More
The U.S. Department of Health and Human Services Office of the Inspector General issued a report yesterday that found that managed care organizations are not doing enough to identify Medicaid waste, fraud and abuse. HHS-OIG undertook the review because it … Read More
At least two state lawmakers are fed up with the private company that handles New York’s cashless tolling system. Assemblyman Tom Abinanti and Sen. David Carlucci want to cancel the Thruway Authority’s 3-year, $72 million contract with Conduent after a … Read More
Health Quest Systems, Inc. and certain of its subsidiaries (Health Quest) and Putnam Health Center (PHC) have agreed to pay over $14.7 million to resolve allegations of violations of the False Claims Act by submitting inflated and otherwise ineligible claims … Read More
Irving-based HMS Healthcare has settled litigation with the founders of a business it bought in 2010, agreeing to pay plaintiffs Dennis Demetre and Lori Lewis $20 million. In November, a New York jury ruled in favor of Demetre and Lewis’ … Read More
AUSTIN, Texas (Legal Newsline) – The Supreme Court of Texas affirmed an appeals court’s decision in a case involving alleged Medicaid fraud, stating that it does not have interlocutory jurisdiction in the matter. The court concluded that it did not … Read More
The DOJ’s national healthcare fraud takedown resulted in charges against more than 600 defendants, including 165 doctors, nurses and other licensed medical professionals. Here’s the rundown on defendants charged in districts across the U.S.: Source: Providers from 35 states charged in … Read More
TEXAS – In a nationwide take down, 12 people from Houston have been arrested in the largest health care fraud action in U.S. history, according to the Texas attorney general’s office. A total of 601 people were arrested in the … Read More
Despite multiple problems with Conduent’s cashless tolling process at the Tappan Zee and Mario Cuomo bridge crossings, and other issues across the country, top execs of the company earned millions. Top corporate executives behind New York’s embattled cashless tolling roadways … Read More
TAMPA BAY, Florida – The Florida Department of Transportation put contractor Conduent on notice it’s in danger of defaulting on its $287 million electronic tolling contract because of ongoing failures with a month-long SunPass disruption that was supposed to last … Read More
HOUSTON, TX— FBI Houston and the Houston-Area Medicare Fraud Strike Force (MFSF) arrested 12 people, including two health care professionals, for their alleged involvement in health care fraud schemes. The arrests were the result of a nationwide Medicare fraud takedown— … Read More
Conduent Incorporated (NYSE:CNDT) shares ended at $18.08 with 3.23 mln shares exchanging hands. That puts the market capitalization at $4.1 bln. It opened the session with a $18.2 price tag, later ranging from $18.015 to $18.27, the range at which … Read More
The Texas Supreme Court has found Xerox responsible for $1 billion in fraudulent Medicaid payments made while the company was responsible for pre-authorizations for Texas Medicaid patients’ dental work. According to a Texas Tribune report, the decision upheld a Texas … Read More
UPDATE: Conduent Share Price Drops 13% Over The Last Few Days – The stock market has apparently reacted harshly to the recent Seeking Alpha analysis on the underappreciation of the $2 billion Texas Medicaid fraud lawsuit against Xerox/Conduent. The stock price … Read More
The Supreme Court of Texas today rejected an attempt by Xerox/Conduent to point the finger at Texas dentists when it goes to court in an attempt to defend itself from at least $2 billion in damages and penalties stemming from its failed Medicaid orthodontic prior authorization … Read More
Law360 (June 22, 2018, 10:09 AM EDT) — Xerox Corp. can’t try to share the blame for what Texas alleges is a $1 billion civil Medicaid fraud with orthodontists who allegedly provided unnecessary services to poor children, the Texas Supreme Court … Read More
$2 billion Texas Medicaid lawsuit against Conduent going to jury in November and is NOT priced in; similar recent lawsuits suggest Conduent likely to settle for ~$500M+. Conduent (CNDT) is a low-quality, low-moat business process outsourcing company that has captured … Read More
OMAHA, Neb. (AP) — A Nebraska dentist has been sentenced to 10 months for submitting fraudulent bills to Nebraska and Iowa Medicaid programs. Authorities say 59-year-old Gregory Garro, of Omaha, was sentenced Monday in U.S. District Court in Omaha. He … Read More
A former social worker who participated in a Medicaid fraud scheme by falsifying medical documents was sentenced to prison and ordered to repay more than $1 million. Duke Ellington Ellis was alleged to have forged signatures of a licensed psychologist … Read More
WORCESTER – Three former managers of a now-defunct Westminster transportation company were placed on probation and ordered to pay restitution Monday for their roles in what prosecutors allege was a scheme to fraudulently bill the state’s Medicaid program for nearly … Read More
A Detroit woman was sentenced to a year in jail and ordered to pay $915,000 in restitution to a nonprofit after being convicted of embezzlement and health care and Medicaid fraud. Lajuana Scott, 59, also received five years of probation … Read More
Law360 (May 30, 2018, 8:08 PM EDT) — Texas has reached settlements totaling $15.2 million with six individuals and four companies involved in physical therapy that were accused of making false statements and conspiring to obtain unauthorized Medicaid benefits, the … Read More
