The Senate’s health care bill would result in many disturbing consequences, including an estimated 23 million people losing their health insurance coverage by 2026 and increased premiums and other out-of-pocket costs. An estimated more than 2.5 million Texas would lose … 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
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
President Trump’s recent 2018 budget proposal, which includes roughly $800 billion in cuts to Medicaid over the next decade, has led to howls of outrage from Democrats. Senate Minority Leader Chuck Schumer, D-N.Y., said last week that the cuts would “carry … 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
Virginia has not adequately secured its Medicaid data and information systems, according to an HHS Office of Inspector General report.The Virginia Department of Medical Assistance Services, which manages the state’s Medicaid program, uses an outside contractor to operate its claims … 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 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
The Trump administration has given states three extra years to carry out plans for helping elderly and disabled people receive Medicaid services without being forced to go into nursing homes. Federal standards requiring states find ways of delivering care to … 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
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
A Boston company has asked a judge to overturn an Arkansas official’s decision that resulted in the firm losing a bid for a multimillion-dollar contract to manage dental benefits for Medicaid recipients. In a lawsuit filed Monday in Pulaski County … Read More
The owner and operator of five Houston-area home health agencies pleaded guilty to conspiring to defraud Medicare and the State of Texas’s Medicaid-funded Home and Community-Based Service and Primary Home Care programs of more than $17 million. He also pleaded … Read More
Montpelier, Vt., – Dr. Marko Vujicic, Chief Economist & Vice President of the Health Policy Institute, a division of the American Dental Association, provided the latest analysis regarding access to dental care in Vermont. Speaking at the statehouse in Montpelier … Read More
In seeking to repeal and replace the Affordable Care Act, Health and Human Services Secretary Tom Price has said “one out of every three physicians in this nation aren’t seeing Medicaid patients.” House Speaker Paul Ryan said “more and more … Read More
Former patients of a Harrison Twp. dental office under investigation by the Ohio Attorney General’s Office for Medicaid fraud spoke out today.Agents with the state’s Medicaid Fraud Investigative Unit raided Dixie Dental and Denture, 3609 N. Dixie Drive, owned by … Read More
MOREHEAD CITY, N.C. (WNCT)–The state accuses A Pefect Fit for You of defrauding it of more than $12 million through Medicaid claims without proper paperwork. The store’s owner, Margaret Gibson, is also accused by her former business partner, Shelley Bandy, … Read More
United States Attorney G. F. “Pete” Peterman, III, announces that Dr. Stanley B. Marable, DDS, age 55, a dentist from Valdosta, Georgia, was sentenced March 16, 2017 to serve twenty-seven (27) months in Federal prison for Healthcare Fraud followed by … Read More
HOUSTON, TX — The owner of a medical clinic with locations in Houston and Port Arthur was sentenced this week to 33 months in federal prison after being convicted of Medicare and Medicaid fraud.Verona Spicer, 47, the owner of Elite … Read More
All 50 states, the District of Columbia, and Congress are all having the same nightmare. It is called Medicaid. Now there is a chance to turn bad dreams into great, big happy ones. Texas is in a unique position to … Read More
MCALLEN – A McAllen woman is waiting to learn her sentence after she was convicted in connection with a Medicaid fraud scheme. Federal prosecutors said 41-year-old Maria Garza was found guilty on 18 counts to defraud Texas Medicaid. Authorities said … Read More
ATLANTA (AP) — An Atlanta-area dentist has been sentenced to a year and six months in federal prison for filing nearly $1 million in false claims with Georgia’s Medicaid program. U.S. Attorney John Horn, in a news release Wednesday, said … Read More
Facing 19 years in prison after losing his pediatric dentistry practice on charges of Medicaid fraud and accusations of child abuse, Howard Schneider was deemed incompetent for trial Wednesday, according to Times-Union news partner First Coast News. The decision, passed down … Read More
McALLEN — Prosecutor Michael Edward Day stood before a federal jury Tuesday to deliver his opening statement in a case connected to the largest healthcare fraud takedown in U.S. history, and repeated an ominous saying three times in Spanish. Paz, … Read More
After initially scoring last among four bidders, a Florida company won a contract to manage dental benefits provided to Arkansas Medicaid recipients after the state’s procurement director on Friday disqualified two of the other bidders. The ruling cleared the way … Read More
McALLEN — A Mission doctor accused of submitting false Medicaid claims for patients who were deceased pleaded guilty to the charges Tuesday. Dr. Pedro Garcia, 68, went before federal District Judge Ricardo Hinojosa and pleaded guilty to conspiracy to commit … Read More
BOSTON (Legal Newsline) — Massachusetts Attorney General Maura Healey announced Jan. 25 that Newton dentist Dr. Julia Faigel and her 21 corporations will pay a total of $475,000 following allegations of improperly billing the state’s Medicaid system. “This pattern of … Read More
AUSTIN—Pointing to significant taxpayer savings and more efficient care, the Texas Association of Business (TAB) today urged the Texas Legislature to allow for the transition of the Medicaid prescription drug benefit to private health plan management to occur as scheduled. … Read More
A former Tenet Healthcare Corp. VP is the first executive of the Dallas-based hospital chain to be charged for an alleged role in defrauding Medicaid through a $400 million kickback scheme. John Holland, 60, pleaded not guilty Wednesday in a … Read More
As Texas House and Senate leaders gird for a high-stakes fight over the state budget, a preliminary round of that showdown is taking shape over whether to partially undo cuts to a Medicaid program that reimburses therapists who serve low-income … Read More
The following is a statement received from MB2 Dental Solutions, the Dallas-area dental service organization, that recently settled with federal and state authorities for a whopping $8.45 million over allegations of Medicaid fraud. A company representative told us that they … Read More
A mother and son were convicted of crimes related to a $7 million home healthcare fraud conspiracy in which they provided forged documents and fraudulent forms to bill for services that were not provided. Delores L. Knight, 70, of Cleveland … Read More
States may receive their Medicaid funding in block grants under President Donald Trump’s plan to replace the Affordable Care Act, one of his advisers reported this weekend. White House adviser Kellyanne Conway, appearing on Sunday Today, said that moving the … Read More
The administrator of five Houston-area home health agencies pleaded guilty today to conspiring to defraud the State of Texas’ Medicaid-funded Home and Community-Based Service and the Primary Home Care Programs of more than $7.8 million. These programs provide qualified individuals … Read More
AUSTIN – The leaders of the Texas Legislature appear to be unwilling or unable to hire a state auditor, an unprecedented situation that has deprived residents of their most powerful government watchdog for more than a year. Lt. Gov. Dan … Read More
Tony Soprano would be outraged; Governor Chris Christie and New Jersey’s congressional delegation should be. Every year, the state of New Jersey loses enormous wealth through the Medicaid program. As it happens, its neighbor to the north is gaining almost … Read More
New Jersey improperly claimed at least $94.8 million in Medicaid reimbursement claims, according to a recent estimate from HHS’ Office of Inspector General. Out of 100 claims from a random sample OIG investigated, 92 did not comply with federal or … Read More
Enrollment in Medicaid and CHIP has grown by nearly 17 million people since the Affordable Care Act was enacted, according to the Centers for Medicare and Medicaid Services. CMS compared enrollment data from October 2016 to July through September 2013, … Read More
