LAKEWOOD, NJ — Six people who were charged in the Medicaid fraud sweeps in late June and early July have requested entry in the state’s pretrial intervention program, or PTI, according to a report. The Asbury Park Press reported the … Read More
STAMFORD — The owner of a city dental practice who used the records of a retired dentist to bill insurance companies for more than 10 years of work that was never performed has been sentenced to a year and one … Read More
The state has filed a False Claims Act lawsuit against a Fairfield dentist alleging that he engaged in a long-term, pervasive scheme to defraud Connecticut’s Medicaid program out of more than $900,000. Aram Agadjanian, also known as Aram Yuri Agadzanov, … Read More
Today, the Texas Supreme Court agreed to hear oral arguments from orthodontic providers regarding the dentists’ counterclaims in the pending State vs. dentists vs. TMHP/Xerox cases. The general facts of the underlying dispute about orthodontic prior authorization have been well-covered … Read More
Medicaid agencies are having a difficult time imposing payment suspensions on providers against which there is credible allegation of fraud, according to a new government watchdog report. The report (PDF), from the Department of Health and Human Services’ Office of … Read More
LAWRENCE, Kan. (KWCH) A Douglas County woman ordered to repay more than $11,000 to the Kansas Medicaid Program after pleading guilty to Medicaid fraud-related charges. Kansas Attorney General Derek Schmidt says 44-year-old Marquita Diane Hutcherson pleaded guilty in July in … Read More
TRENTON – The wave of arrests in Lakewood in alleged welfare fraud schemes has prompted state officials to establish an amnesty program that will let Medicaid cheaters avoid prosecution if they come forward. But participants will be required to repay … Read More
An Illinois-based chain of dental clinics has agreed to pay nearly $1.36 million to resolve claims that it improperly billed Massachusetts’ Medicaid program for unnecessary and unjustified procedures. The settlement with Dental Dreams LLC, a privately held company that operates … Read More
A Mt. Vernon dentist is again facing allegations that he defrauded Medicaid, following charges filed by the office of Missouri Attorney General Josh Hawley last week. Dr. Thomas Alms is maintaining his innocence, and his attorney, Roger Jones, said that … Read More
When the Justice Department announced in July that the federal government would press charges against more than 400 health care providers, including 115 doctors, in the largest health care fraud bust in history, U.S. Attorney General Jeff Sessions called it … Read More
The owner of an Omaha mental health and substance abuse treatment company has been sent to prison and ordered to pay more than $100,000 for health care fraud. Chandra Wrightsell, who ran Evol Consulting LLC, pleaded guilty to one of … Read More
The owner of multiple home health care companies and a doctor were sentenced for their roles in a nearly $60 million Medicare fraud scheme, the Department of Justice announced on August 18. Myrna S. Parcon, 62, of Dallas and Ransome … Read More
A Roxbury pharmacy has agreed to pay $309,000 over its failure to disclose a managing employee’s suspension from the New York State Medicaid program due to a criminal conviction, authorities said. Valley Pharmacy, in the Succasunna section of the township, … Read More
Antoine Skaff, 58, entered his guilty plea to health care fraud. Skaff also entered into a civil settlement with the U.S. Attorney’s Office, the Office of Inspector General for the U.S. Department of Health and Human Services, the West Virginia … Read More
The owner of a small chain of home health care agencies near Houston has been sentenced to decades behind bars for bilking Medicaid and Medicare out of millions of dollars. U.S. District Judge Sim Lake of the Southern District of … Read More
State and county authorities descended on a Laredo adult day care Wednesday morning as the patrons calmly played loteria inside the main hall. The Texas Attorney General’s Office and Webb County Precinct 1 Constable’s Office executed a search warrant at … Read More
JEFFERSON CITY, Mo. — Missouri Attorney General Josh Hawley Wednesday filed criminal charges against a Mount Vernon dentist for defrauding Medicaid. The complaint charges Dr. Thomas Alms of Mount Vernon committed three felony counts of Medicaid fraud, and one felony … Read More
A Charleston dentist on Monday pleaded guilty to federal charges that he falsely billed Medicaid for more than $700,000 in dental procedures he did not actually perform on his patients. Antoine Skaff, 58, pleaded guilty to health care fraud before … Read More
Conway, S.C. (WPDE) — A Conway dentist has been arrested for violating drug distribution laws and obtaining drugs for his own personal use. According to an arrest warrant, police say between May 9, 2016, and July 11, 2017, Richard H. … Read More
The owners of several Texas home health agencies pleaded guilty to a $60 million Medicare fraud plot and were sentenced to stays in federal prison. Dallas-based Healthcare Liaison Professionals owner Myrna Parcon and former doctor and part-owner Ransome Etindi pleaded guilty to … Read More
WORCESTER, MA – From the Massachusetts Attorney General: Attorney General Maura Healey announced today that her office has reached a settlement with a pediatric dentist in Springfield, returning $500,000 to the state’s Medicaid program (MassHealth) and resolving claims that the … Read More
DALLAS (AP) — A Dallas woman must serve 10 years in federal prison and repay $51 million in a health care services fraud case involving home visits. Myrna S. Parcon was sentenced Thursday in Dallas. Parcon pleaded guilty to conspiracy … Read More
A small pharmacy in Utah and a doctor’s office in Tennessee have been implicated in an alleged kickback scheme that used San Diego County Marines to defraud the military’s health insurance provider out of at least $67 million, according to … Read More
Two men admitted defrauding New Jersey state health benefits programs and other insurers out of $25 million by submitting fraudulent claims for medically unnecessary prescriptions. Matthew Tedesco, 42, a pharmaceutical sales representative from Linwood, N.J., and Robert Bessey, 43, of … Read More
Pharma companies are not doing well keeping their unscrupulous behavior quiet. Martin Shkreli’s high profile trial for increasing the price of the drug Daraprim from $13.5 to $750 per pill, and the complicated jury selection process, is making headlines. Now, … Read More
The owner of a string of Houston home health care clinics was sentenced to 40 years in federal prison Thursday for a brazen scheme involving more than $17 million in fraudulent Medicaid and Medicare billing. “I’m not here to pass … Read More
A Dallas physician has been sentenced to 35 years in federal prison and ordered to pay more than $268 million in restitution for his role in a Medicare and Medicaid fraud conspiracy involving $357 million in billing for unnecessary home … Read More
A San Antonio pharmaceutical representative has been indicted in a health care fraud case alleging Tricare and private insurers were overbilled by $9.5 million. The 30-count indictment against Holly T. Blakely, 44, makes clear that she is not the only … Read More
A 60-year-old Dallas-area doctor has been sentenced to 35 years in prison for helping defraud Medicare and Medicaid out of almost $375 million. A federal judge also ordered Dr. Jacques (ZHAWK) Roy on Wednesday to pay more than $268 million in restitution. … Read More
MIAMI (CBSMiami) — A dentist in South Florida faces fraud charges for billing patients for work already covered under Medicaid. Dr. Fadi Yousef Qablawi, 39, targeted elderly patients with Medicaid by telling them their procedure would have to be paid … Read More
The Statesman published a landmark article this morning by reporter Eric Dexheimer regarding the great Texas orthodontic debacle. Story finally pieced together Thanks to the state’s fraud suit against Xerox, its former Medicaid claims administrator summarily terminated back in early … Read More
A dozen years ago, Texas health care administrators hired a company to help determine when taxpayers should cover the cost of dental care for the state’s poorer residents, particularly children. The company, later acquired by the giant corporation Xerox, deployed … Read More
A Florida state healthcare official allegedly accepted bribes in exchange for helping a nursing home owner accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme keep his license, federal prosecutors said. Bertha Blanco, 66, faces federal criminal charges … Read More
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
