Washington state will keep a small fraction of a $280 million national settlement involving a pharmaceutical company accused of committing fraud by promoting two drugs for unapproved cancer treatments. Source: Washington gets $368,000 under Medicaid fraud settlement / KHQ News
Investigators with the New Mexico Attorney General’s Office said they will pore over Medicaid bills with an eye for suspicious activity in an attempt to find Medicaid fraud throughout the state. Source: AG cracking down on Medicaid fraud, elder abuse … Read More
A registered nurse in Texas must serve four years in federal prison for her role in what prosecutors call a health care scam involving nearly $375 million in false claims. Charity Eleda of Rowlett (row-LET’) in North Texas was sentenced … Read More
The Fortuna resident who allegedly fraudulently ran Eel River Valley Dental using forged documents appeared in court Monday and has been charged with four felony counts. According to Humboldt County court records, Mazair, also known as Michael, Eshghipour allegedly committed … Read More
In an attempt to adapt to significant budget cuts, the Montana Department of Public Health and Human Services is proposing to reduce reimbursements to doctors and others who treat patients on Medicaid by nearly 3.5 percent. Providers say that cut … Read More
Medicare is the federal health-insurance program for people 65 or older and certain people with disabilities. Beneficiaries love the program and depend on it, and so do a large and unknown number of criminals and scam artists. Earlier this month, … Read More
Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Tom Price, M.D., announced today the largest ever health care fraud enforcement action by the Medicare Fraud Strike Force, involving 412 charged defendants across 41 federal districts, … Read More
Two Austin psychologists and a Cedar Park patient recruiter are facing criminal charges after federal investigators accused them of a Medicaid kickback scheme involving children who had been removed from their homes by the Texas Department of Family and Protective … Read More
A medical biller in the Detroit area was sentenced June 30 to 50 months in prison for her role in a $7.3 million healthcare fraud scheme, according to the Department of Justice. In addition to the prison term, U.S. District … Read More
A 42-year-old former Goliad woman has admitted to posing as a nurse, U.S. Attorney Abe Martinez said in a press release issued Thursday. Leticia Gallarzo pleaded guilty to five counts of making false statements relating to health care in federal … Read More
WHITE PLAINS – A registered nurse from Yonkers was arrested and indicted Monday for allegedly submitting more than $390,000 in claims for services to two severely disabled patients that he did not provide. Attorney General Eric Schneiderman says over the course … Read More
A Guysville woman pleaded guilty Thursday in U.S. District Court to health-care fraud and willful failure to pay over-tax, according to a news release from the office of Benjamin C. Glassman, U.S. Attorney for the Southern District of Ohio. Cheryl … Read More
AUSTIN (KXAN) — Roosevelt Granderson II, an Austin police officer, was arrested early Wednesday morning at Austin-Bergstrom International Airport on charges connected to a scheme to collect more than $258,000 in benefits that he, his wife and mother-in-law were not … Read More
The owner of a home health agency in Dallas has been sentenced to 17 years in prison for his role in the nation’s largest home health care fraud scheme in history—a nearly $400 million scam, the Justice Department announced Tuesday. … Read More
HARTFORD, Conn. (Legal Newsline) — Connecticut Attorney General George Jepsen announced June 6 that a Stamford-based dentist, Georgy Betser, his wife, Irina Betser, and their companies will forfeit $755,956.30 and be excluded from participation in the state’s Medicaid program for … Read More
The owner of a Dallas-based home health care services company was sentenced to 17 and a half years in prison for his role in a health care fraud conspiracy. Wilbert James Veasey Jr., the owner of Apple of Your Eye … Read More
Federal Medicaid dollars are spent by the states. The Health and Human Services Department requires states to have Medicaid Fraud Control Units that hunt for theft or patient abuse. And they do get results. Richard Stern is the director of … Read More
MCALLEN (KFXV) — In federal court, five others were charged for a health care fraud scheme they orchestrated. According to court documents, 41-year-old, Maria Teresa Paz Garza received a 144-month sentence for committing health care fraud, and aggravated identity theft … Read More
BOISE — A Fruitland woman will serve five years in prison for her role in health-care fraud and aggravated identity theft. Cherie R. Dillon, 62, of Fruitland, was sentenced Wednesday to five years in prison to be followed by three … Read More
Two former Southwest Utah Public Health Department officers have been charged with conspiring to file false Medicaid claims with the Utah state government following a months-long investigation into the agency’s financial practices. Todd Alan Stirling, 51, and Russell Ammon Hinton, … Read More
(Mankato, MN) – A 51-year-old Mankato woman who ran a massive Medicaid scam has been sentenced to one year in jail, which she can serve on work release. Rebecca Swanson was also ordered to pay restitution of around $600,000 and … Read More
Citing “a clear and immediate danger” to public health and safety, the Alaska Board of Dental Examiners suspended Anchorage dentist Seth Lookhart’s license on Thursday while an investigation continues into his patient care. Online records show that Lookhart’s license to … Read More
EpiPen has been in the news ever since last year’s outcry over the discovery that its maker, Mylan, hiked the price 550% for the auto-injected emergency allergy treatment. The list price for an EpiPen two-pack is $609. The device and … Read More
A College Station woman has been indicted by a Brazos County grand jury after authorities say she fraudulently collected several thousand dollars in Medicaid and SNAP food benefits. According to a grand jury indictment, Kendra Alisa Sterling, 28, was arrested … Read More
SAVANNAH, GA – Barbara Wallace, 52, of Savannah, Georgia, was sentenced by Senior United States District William T. Moore, Jr. yesterday to 41 months in prison for her role in a scheme to defraud Medicaid. Judge Moore also ordered Wallace … Read More
Each year the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) releases its annual Medicaid Fraud Compliance Performance Report. There is much to learn from this compendium of information provided by 50 Medicaid Fraud … Read More
A Lincoln woman is accused of stealing more than $9,000 in payroll from Medicaid by allegedly lying about the amount of time she worked with two patients.The Nebraska Medicaid Fraud and Patient Abuse Unit received information in January 2016 that … Read More
A Poughkeepsie woman was sentenced to five years of probation and paid $113,584 in restitution in connection with charges that she filed timesheets for Medicaid services that were never provided.In February, Tina Gabel, 59, pleaded guilty to third-degree grand larceny, … Read More
Back in October 2015, TDMR filed an open records request with the Office of the Attorney General seeking to find out how much legal manpower had been used to pursue questionable Medicaid cases against Texas dentists involved in the multi-million dollar … Read More
A chiropractor who owns and operates four clinics in southwest Michigan faces a hearing Friday on two felony charges for allegedly receiving illegal Medicaid reimbursements for two products he prescribed to low-income patients.Ahad Lotfi, 53, of Lawton, Mich., west of … Read More
Attorneys general from around that nation have asked the Trump administration to allow them to use federal funds meant for their Medicaid fraud units to combat elder abuse.On Wednesday, 38 state attorneys general sent a letter to HHS Secretary Tom … Read More
A Bryan woman is accused of defrauding the state for between $5,000 and $60,000 dollars in Medicaid and state SNAP food benefits. 40 year old Christina Ayala was indicted by a Brazos County grand jury on two charges. Both are … Read More
Acting U.S. Attorney Duane A. Evans announced that on May 9th, after over four weeks of trial, a federal jury returned guilty verdicts against six individuals charged with committing approximately $13,655,094 in Medicare fraud. Specifically, HENRY EVANS, age 71, was … Read More
Washington, DC—The National Association of Attorneys General (NAAG) sent a letter today urging the U.S. government to change its policy so that state attorneys general could use federal funds to investigate and prosecute a wider range of Medicaid abuse and … Read More
Department of Health and Human Services Secretary Tom Price, M.D., called the Medicaid program “broken” and said it needed a stronger focus on fighting fraud and waste during a House subcommittee hearing in late March. Price told lawmakers one of … Read More
TYLER, Texas – A Smith County couple has pleaded guilty to charges of health care fraud in the Eastern District of Texas announced Acting United States Attorney Brit Featherston today. Gerard Dengler, 61, and Suzanne Dengler, 52, of Tyler, Texas, … Read More
Law360, Dallas (April 24, 2017, 7:13 PM EDT) — Texas told the Texas Supreme Court on Friday that a trial judge rightly barred Xerox Corp. from trying to share the blame in a $1 billion civil Medicaid fraud suit by … Read More
Many state Medicaid programs are trying to improve their data analytics and provider education to curb fraud and waste within the program — efforts recently criticized in a federal report — one official said this week.Dianne Hasselman, deputy executive director … Read More
An Anchorage dentist and his office manager are facing charges of fraud over unnecessarily sedating patients and then charging Medicaid. The state’s Medicaid fraud unit on Monday filed a 17-count criminal complaint against Dr. Seth Lookhart and his office manager, … Read More
McALLEN — Five Valley residents have been charged with Medicare fraud and the payment of illegal kickbacks. According to the charging documents, each of the five individuals engaged in conspiracies to refer Medicare beneficiaries to a home health agency … Read More
