$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
Federal officials accused David Williams of Fort Worth of fraudulently billing health insurance companies more than $25 million and billing those companies for medical services while impersonating a certified health care provider. Read more at star-telegram.com
A dentist from Macomb County has been sentenced to serve 218 days in jail and ordered to pay $1.7 million in restitution for committing a Medicaid fraud scheme. David Johnson, 51, of Chesterfield Township, also was sentenced to five years … Read More
RICHMOND, VA – A Mechanicsville dentist was sentenced Friday to 30 months in prison for defrauding Medicaid and four dental insurers of approximately $783,000. According to court documents, Maryam E. Zarei, 47, of Glen Allen, was the owner and operator … Read More
A Mechanicsville dentist who defrauded Medicaid and several insurance companies out of $783,000 from 2013 to 2016 was sentenced Friday to 30 months in prison. In pleading guilty to health care fraud last December, Maryam E. Zarei, 47, of Glen … Read More
PHOENIX — The Arizona Attorney General’s Office announced that two women were arrested for allegedly performing unlicensed dental work in a Glendale office. Melissa M. Pavey, 45, and Jolene E. Houchens, 38, were accused of performing unlicensed tooth extractions and … Read More
A Bucks County dentist has pleaded guilty to Medicaid fraud, and agreed to pay $1.5 million in restitution after he and his company submitted fraudulent claims to the Medicaid Program for dental work that was never performed. Dr. Ilya Babiner, … Read More
Texas overcharged the federal government for a portion of primary care reimbursement following a state Medicaid rate cut, according to the HHS Office of Inspector General, so Texas should refund the federal government $20.7 million for those overcharges and other … Read More
LITTLE ROCK, Ark. (KTHV) — A family practitioner based in Helena has turned himself in for Medicaid fraud. The arrest is related to the October arrests of Pearlie Bailey, 63, of Hollandale, Mississippi; Charline Brandon, 61, of Cleveland, Mississippi; Clotee … Read More
It was an angry scene that lasted for weeks in the spring of 2015 along an uphill stretch of University Boulevard. Parents protested how a Jacksonville dentist had abused their children in his office nearby. Howard Sheldon Schneider had pulled … Read More
FONDA — A Canajoharie dentist arrested last year on fraud allegations will spend time in state prison after pleading guilty in the case, Montgomery County District Attorney Kelli McCoski said Thursday. Martin Sorbero, 63, of Hagaman, appeared in court last … Read More
Back in July 2017, I came across a newspaper article that was being shared on a popular dental hygiene Facebook group about a dental hygienist from Idaho named Cherie Dillon. According to the story, Cherie was convicted of Medicaid fraud … Read More
Yes, we know it is 2018. Sorry. But the truth about the late great Texas Medicaid orthodontic debacle (2007 to 2011) has been not fully been made public yet. So here is some more truth for those who were involved … Read More
Two days ago, the iconic and troubled American corporation Xerox was sold to Japan’s Fujifilm for $6.3 billion dollars, ending its solo history in this country. Losing money, under pressure The new company will be known as Fuji Xerox and, … Read More
A Langhorne dentist was hit with multiple felony charges Wednesday after prosecutors said he and his company submitted $1.5 million in fraudulent claims to the Medical Assistance Program for dental work that was never performed. Dr. Ilya Babiner, 63, of Bridge … Read More
In January of last year, Dr. Juan Villarreal’s long-awaited book “Truth Decay: How Government Corruption Caused a Political Scandal Victimizing Texas Dentists and How It Could Happen to You!” was released on Amazon.com. “Truth Decay” details Dr. Villarreal’s personal struggles … Read More
BALTIMORE, Md. – The State of Maryland will receive over $1,000,000 from a company as part of a settlement, after officials say the company made false Medicaid claims for dental procedures. Source: Md. to receive over $1M in Medicaid fraud settlement … Read More
MOUNT VERNON, Mo. — A Mount Vernon dentist was ordered bound over for trial this week in Lawrence County Circuit Court on three counts of Medicaid fraud and a single count of obstruction. Associate Court Judge Scott Sifferman found probable … Read More
Recently the Health and Human Services Office of Inspector General issued a report A-17-17-52000- U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES MET MANY REQUIREMENTS OF THE IMPROPER PAYMENTS INFORMATION ACT OF 2002 BUT DID NOT FULLY COMPLY FOR FISCAL YEAR … Read More
Francisco Pena, mayor of Rio Bravo, Texas, has been indicted alongside three other individuals for his alleged role in a $150 million home health care fraud and money laundering scam, according to a memo released by the U.S. Justice Department. … Read More
SPRINGFIELD, Mo. — (1/03/2018) What used to be one of the busiest dental offices in Mt. Vernon is now little more than ashes, as the building was burned almost to a crisp in a fire that officials are now labeling … Read More
TRENTON – A “mobile” dentist who fraudulently billed nursing homes and elderly patients for work that was not done in some cases will spend the next eight years in prison and must pay $7 million in restitution, Attorney General Christopher … Read More
Federal prosecutors are seeking additional damages from an Idaho woman who acted as a dentist despite being licensed only as a dental hygienist. Cherie R. Dillon, 62, of Fruitland, drilled and pulled teeth, provided patients with fillings and dentures, and … Read More
UPDATE: Arguments in this case were heard by the Supreme Court on Wednesday, December 6. The 39-minute video of the oral arguments is here. The court’s decision is not expected until spring of next year. As a heads up for dentists … Read More
SURVEYOR, W.Va. — Several FBI vehicles were parked in front of Jarrell Family Dentistry Wednesday afternoon. Multiple agents could be seen walking in and out of the building carrying papers. The business is located along Harper Road, Route 3. An … Read More
A Hanover County dentist pleaded guilty Wednesday in a four-year health care fraud scheme that netted more than $783,000 from Medicaid and four dental insurers. Maryam E. Zarei, 47, of Glen Allen, the owner and operator of Atlee Station Family … Read More
A Montgomery doctor pleaded guilty to federal charges after he unnecessarily prescribed several different drugs as part of a “pill mill” operation, according to a U.S. Attorneys Office news release. Source: Montgomery doctor pleads guilty to unnecessarily prescribing opiates, health care … Read More
The recent news surrounding federal prosecutors bringing Medicare fraud cases against doctors, pharmacies and marketers in Texas cities provides some justice where it is needed. The cases in Texas spotlight a scheme involving pharmacy owners and marketers paying kickbacks and … Read More
AstraZeneca PLC is in talks to settle a Texas lawsuit claiming the company fleeced the state’s Medicaid program by fraudulently marketing one of its top drugs, according to court filings. Texas sued the drugmaker in 2013, saying AstraZeneca had targeted … Read More
A Brooklyn doctor and four co-conspirators plead guilty in the past week to defrauding Medicare and Medicaid of $30 million, after it was discovered they were billing patients for unnecessary services. Elderly patients were charged for inessential tests and medical … Read More
A federal grand jury in Houston has returned a, indictment against three people, including two siblings, charging them with conspiracy to commit wire fraud, kickbacks and money laundering connected with an alleged federal workers’ compensation fraud scheme, according to the … Read More
A newly unsealed Florida whistleblower lawsuit alleges software used at more than 300 hospitals is leading them to overbill Medicare and Medicaid. Epic Systems Corp.’s software does not comply with 2012 guidelines for counting the number of minutes a patient … Read More
Despite her claims to the contrary, a state appeals court panel has found that a woman committed insurance fraud when she lied so she could get her teeth fixed. Amy Lee Palmer sent a forged a letter from an insurer … Read More
A former WakeMed Health employee filed a lawsuit against a large electronic health record vendor under the False Claims Act for allegedly fraudulent practices in its medical claims software, according to court documents. Geraldine Petrowski, of North Carolina, alleges the … Read More
he husband and wife co-owners of a Matteson-based youth counseling center are accused of using an inflated billing scheme to defraud Medicaid out of millions of dollars, a lawsuit filed by the U.S. attorney in Chicago and the state alleges. … Read More
