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You are here: Home / Archives for u.s. government

No Penalty or Fine for Xerox Using High School Dropouts to Approve Medicaid Prior Authorizations for Eight Years?

February 22, 2019 By TDMR Leave a Comment

The state's $235 million settlement this week with Xerox/Conduent, its former Medicaid claims administrator, unfortunately, leaves unresolved some disturbing questions about how the company could operate its insanely irresponsible orthodontic prior authorization process for so long with state officials either looking the other way or incapable of doing anything about it. While … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: medicaid fraud, texas health and human services commission, u.s. government, xerox

Audit reveals states owe federal government billions for fraudulent Medicaid overpayments

December 20, 2018 By TDMR Leave a Comment

Watchdog estimates recent audit of fraudulent Medicaid payments totaling nearly $2 billion ‘is really closer to $60 billion’ A recent audit of the Department of Health and Human Services (HHS) reveals that it directed $2.6 billion worth of taxpayer money toward fraudulent and/or mismanaged Medicaid claims over a period of five years. More than half – $1.6 billion – remains … [Read more...]

Filed Under: Media Tagged With: medicaid fraud, u.s. government

Did Texas OAG Forget to Sue Xerox For $133 Million Owed the Feds for Medicaid Orthodontic Prior Authorization Debacle?

November 19, 2018 By TDMR 2 Comments

It appears that Texas Office of the Attorney General (OAG) forgot to sue Xerox to recover over $133 million that the federal government determined it was owed because of the state’s lack of oversight over Xerox, its then-Medicaid claims administrator, which mishandled the state’s orthodontic prior authorization process from 2008-2011. Revealed in recent court filing by … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: attorney general texas, medicaid fraud, texas medicaid reform, u.s. government, xerox

UPDATE: Indiana Dental Practice & DSO Shell Out $5.1 Million Over Medicaid False Claims Allegations

November 6, 2018 By TDMR 9 Comments

UPDATE:  TDMR has received a copy of the ImmediaDent and Samson Partners press statement from Samson Partners vice-president of marketing Stephen Valenti.  It is at the bottom of our story in full. Indiana-based ImmediaDent and DSO Samson Dental Partners of Kansas have agreed to pay the federal government and Indiana some $5.139 million to resolve false claims allegations of … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: medicaid fraud, state medicaid, u.s. government

$5.1 Million Dollar Settlement Reached With Indiana Dental Firm To Resolve False Claims Allegations

November 6, 2018 By TDMR Leave a Comment

LOUISVILLE, Ky. – United States Attorney Russell M. Coleman announced today that ImmediaDent of Indiana, LLC (ImmediaDent), which operates nine dental care practices in Indiana, and Kansas based Samson Dental Partners, LLC (SDP), which provides administrative support services to ImmediaDent, have agreed to pay the United States and the State of Indiana $5.139 million to resolve … [Read more...]

Filed Under: Media Tagged With: medicaid fraud, u.s. government

Under investigation and on the ballot, Sen. Charles Schwertner avoids spotlight

October 31, 2018 By TDMR Leave a Comment

Zach Zezulka, a libertarian who lives in Williamson County, last week walked out of the early voting polling place at the Georgetown Parks & Recreation building proud to have cast ballots for candidates who will support President Donald Trump’s agenda. But Zezulka said he wasn’t sure whether he would grow to regret his vote for state Sen. Charles Schwertner, the … [Read more...]

Filed Under: Media Tagged With: u.s. government

Medicaid Managed Care Companies in Ohio Received $90 Million in Payments for Dead People

October 17, 2018 By TDMR Leave a Comment

Reported in a shocking report released this week, the Office of Inspector General for the U.S. Department of Health found that the Ohio Department of Medicaid made $90.5 million in capitation payments to managed care organizations in the state on behalf of deceased beneficiaries. Over 81,000 payment made over two years The audit covered a two-year period from July 1, … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: state medicaid, u.s. government

New HHS-OIG Report Criticizes MCO Identification of Medicaid Fraud and Abuse

July 12, 2018 By TDMR 1 Comment

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 and "others have ongoing concerns about program integrity in Medicaid managed care." Reviewed survey data and … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: medicaid fraud, Medicaid managed care, texas health and human services commission, u.s. government

“Truth Decay” One Year Later

January 29, 2018 By TDMR Leave a Comment

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 and victories overcoming allegations of Medicaid fraud by the Texas Office of Inspector General … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: due process rights, medicaid fraud, texas health and human services commission, Texas legislature, texas medicaid reform, u.s. government

Legislation Aimed at the Root Causes of Medicare and Medicaid Fraud

January 18, 2018 By TDMR 2 Comments

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 2016. In the report, OIG recommends that HHS focus on the root causes of the improper payment rate percentage and … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: medicaid fraud, office of inspector general, texas medicaid reform, u.s. government

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Conduent Stock Price Watch

As the Texas Medicaid fraud suit against Xerox/Conduent moves towards trial, watch the company's stock price. The company's 52-week high was on June 14 at $20.85.

Most Viewed Posts & Pages

  • Whistleblowers File Motion for Their Share of $235 Million Xerox/Conduent Settlement
    Whistleblowers File Motion for Their Share of $235 Million Xerox/Conduent Settlement
  • Smelling Like a Rose: Xerox/Conduent Settles Texas for $235 Million, Renews Contract in Indiana for $232 Million
    Smelling Like a Rose: Xerox/Conduent Settles Texas for $235 Million, Renews Contract in Indiana for $232 Million
  • No Penalty or Fine for Xerox Using High School Dropouts to Approve Medicaid Prior Authorizations for Eight Years?
    No Penalty or Fine for Xerox Using High School Dropouts to Approve Medicaid Prior Authorizations for Eight Years?
  • Texas Settles with Xerox for $235 Million Out of "Desire to Buy Peace and Avoid Further Litigation"
    Texas Settles with Xerox for $235 Million Out of "Desire to Buy Peace and Avoid Further Litigation"
  • Jury convicts former Missouri dental clinic owners of $1 million health care, payroll tax fraud
    Jury convicts former Missouri dental clinic owners of $1 million health care, payroll tax fraud

Recent Comments by Readers

  • Kenneth Bolin on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • Kenneth Bolin on Texas Settles with Xerox for $235 Million Out of “Desire to Buy Peace and Avoid Further Litigation”
  • Joe Knows on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • Beans on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • Graham D. Shea, DDS on Texas Settles with Xerox for $235 Million Out of “Desire to Buy Peace and Avoid Further Litigation”
  • TDMR on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs

Recent Media of Interest

Virginia couple accused of defrauding Medicaid

February 22, 2019

Jury convicts former Missouri dental clinic owners of $1 million health care, payroll tax fraud

February 22, 2019

Firm announces $232M contract with Indiana, just two days after settling huge Medicaid fraud case in Texas

February 21, 2019

Xerox Reaches $235M Deal to Settle Medicaid Fraud Claims

February 19, 2019

Sentencing delayed in Texas medical equipment fraud case

February 18, 2019

Walgreens to Pay $269.2 To Settle Civil Fraud Lawsuits

February 17, 2019

Voters in four states have approved Medicaid expansion by ballot. Will Texas do the same?

February 15, 2019

Thousands of Texans shocked by surprise medical bills. Requests for help overwhelm the state.

February 15, 2019

Ohio joins alleged overbilling and fraud settlement with Walgreens

February 15, 2019

Lessons for Distributors from Dental Lawsuits

February 14, 2019

Minnesota Attorney General Ellison’s office wins state’s largest medicaid fraud case

February 12, 2019

DOJ Announces More Than $21M in Home Health Fraud, Kickback Schemes

February 12, 2019

Texas lawmaker introduces bill requiring name and photo be added to Lone Star card to fight fraud

February 11, 2019

Federal indictment in Ohio charges 6 in $48M Medicaid fraud

February 8, 2019

Georgia hospital enters $5M settlement with feds to resolve false claims case

February 8, 2019

California man sentenced, ordered to pay $1.5 million for healthcare fraud

February 7, 2019

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