COLUMBIA — Federal authorities are seeking to recover $9 million that they say a S.C. woman stole in a wide-ranging scheme involving false medical bills for treating autistic children. Susan A. Butler, the “founder” of the S.C. Early Autism Project, … Read More
A Lansing woman has been sentenced to nearly two years in prison for Medicaid fraud and related charges, according to a news release from the Kansas Attorney General’s Office. Erin Grae Whitlow, 29, pleaded guilty in November to one count … Read More
Jefferson City, MO – Missouri Attorney General Eric Schmitt announced that a St. Louis County woman was ordered to repay more than $5,000 to the MO HealthNet program after pleading guilty to Medicaid fraud-related charges. “Missourians have a rightful expectation … Read More
LITTLE ROCK — Arkansas Attorney General Leslie Rutledge today announced the arrest of a mental health therapist at Preferred Family Healthcare (PFH). Kandice Robinson, 33, of Bartlett, Tenn., is accused of billing the Arkansas Medicaid Program for services not rendered … Read More
OMAHA, Neb. (AP) — A former state Medicaid audit administrator accused of bilking his father and Medicaid out of nearly $379,000 has pleaded guilty. Court records say Lincoln resident Craig Barnett entered the pleas last week in U.S. District Court … Read More
A mental health therapist who worked for Preferred Family Healthcare has been accused of defrauding the state’s Medicaid program. Kandice Robinson, 33, of Bartlett, Tenn., is the fourth former employee of the Missouri-based health provider charged by Arkansas authorities in … Read More
A judge in a federal fraud case has ordered an Edmond couple to pay $268,796 in restitution to the state’s Medicaid program. Lawrence Vasquez, 62, and his wife, Eunja L. Vasquez, 56, operated Mercy Diabetic Supply Inc. in Oklahoma City. … Read More
(St. Paul, MN) — The Minnesota Attorney General’s Office brought charges Wednesday against a man alleged to have defrauded the state medical assistance program out of more than 260-thousand dollars. State Attorney General Lori Swanson said Abdi Ali Gure of … Read More
BAKERSFIELD, Calif. — Two former employees of Landmark Dental are being investigated by the California Department of Insurance (CDI) Fraud Division for allegedly filing 27 false insurance claims, according to court documents. According to a search warrant, on July 5, … Read More
FAIRBANKS, Alaska (AP) – A former personal care attendant in Alaska has been sentenced to three years of probation for fraudulently billing more than $50,000 to Medicaid. The Fairbanks Daily News-Miner reports 57-year-old Sirje Kulakevich was sentenced last week in … Read More
A Dearborn pharmacist accused of prescribing medication to dead people and billing Medicare and Medicaid is now facing serious consequences. Haytham “Tom” Fakih is no stranger to the spotlight. Local 4 interviewed him in April after he began using halal … Read More
The owner of an Upper Valley durable medical equipment company has been indicted for medicaid fraud. A 14-count federal indictment was unsealed Thursday against Omar Cuate Canales, who operates Bluebonnet DME in Roma. Canales is charged with submitting false health … Read More
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 … Read More
McALLEN — The operator of a local durable medical equipment company was sentenced to three years in prison Wednesday, court documents show. George Louis Moreno, operator of Mars DME Inc., stood before U.S. District Judge Micaela Alvarez Wednesday morning during … Read More
A Fairfield County woman has admitted to her role in an elaborate scheme to defraud Medicaid for services they never provided. Toshirea Jackson of Bridgeport has pleaded guilty in Bridgeport district court to one count of healthcare fraud for participating in … Read More
In the same Xerox/Conduent court filing from July 2018 mentioned in our previous article, there is another exhibit worth mentioning. It is the complete email chain involving HHSC OIG officials discussing OIG investigator Ray Acuña’s meeting notes on the Xerox/Conduent … Read More
Sarah Sarder, Breaking News Reporter. A Midlothian woman admitted Thursday to defrauding Medicaid while she was behind bars awaiting sentencing for a previous fraud scheme, authorities said. Alexis C. Norman, 47, pleaded guilty to one count of conspiracy to commit … Read More
St. Louis, MO – Demagio Smith, 28, of St. Louis, Missouri, pled guilty to conspiracy to make false statements to Medicaid. In his plea agreement, Smith admitted that he repeatedly submitted false time sheets to Medicaid that suggested that he … Read More
An embattled Texas provider that’s slated to shutter two hospitals on Friday closed an outpatient clinic in Temple Wednesday. Little River Healthcare’s primary- and specialty-care clinic King’s Daughters Clinic was closed to patients Wednesday. The clinic’s voicemail greeting did not … Read More
A Houston, Texas doctor was sentenced to 60 months in prison followed by three years of supervised release today for his role in a fraudulent medical clinic that ran costly, unnecessary diagnostic tests. Assistant Attorney General Brian A. Benczkowski of … Read More
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, … Read More
Federal prosecutors obtained a jury conviction of two North Texas home health owners who stole over $3.7 million from Medicare and Medicaid. A joint investigation with the Medicaid Fraud Control Unit of the Texas attorney general’s office brought Celestine “Tony” … Read More
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 … Read More
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, … Read More
LONDON, Ky. (WKYT) – A cardiologist in southern Kentucky will spend years in federal prison after being convicted on fraud charges. U.S. District Court Judge Gregory F. Van Tatenhove sentenced Dr. Anis Chalhoub to 42 months in federal prison for … Read More
UPDATE: We’ve added below an additional HHSC presentation given to the House Committee on General Investigating & Ethics which gives further details of MCO contract management. This morning HHSC sent out a notice that it was looking for public comments … Read More
Attorney General Leslie Rutledge during the taping of a debate on AETN this morning said former lawmakers remain under investigation in the Medicaid fraud probe of Preferred Family Healthcare. She provided no further details. Source: Rutledge says ‘former’ legislators under investigation … Read More
CHICAGO (CBS)–The former manager of a dental office with locations in Chesterton and Crown Point, Indd., has been charged with felony Medicaid fraud after allegedly swindling Medicaid out of more than $365,000. Justyn Arch, 32, of Valparaiso, is accused of … Read More
LAREDO, TX (KGNS) – The clinic known as Laredo Laser and Surgery has reopened for business a day after the FBI shut down operations for a few hours. The FBI, federal agencies and the attorney general’s Medicaid Fraud Control Unit … Read More
Local, state and federal authorities raided a local clinic on Tuesday morning. Federal Bureau of Investigation special agents along with the U.S. Department of Health and Human Services-Office of Inspector General and the Texas Attorney General’s Office Medicaid Fraud Control … Read More
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
