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Albuquerque
Business Owner Charged With Medicaid Fraud
(Las Cruces Sun-News - Dec. 26, 2007) An Albuquerque business
owner is facing two counts of Medicaid fraud for submitting false billing to the
Medicaid program. Corporate
Whistleblower Center Says Medicare/Medicaid Fraud Out of Control
(PR Web - Jan. 11, 2008) Americas Watchdog's Corporate Whistleblower
Center is releasing its annual report on Medicare & Medicaid fraud, and according
to the group things have never been worse. The report focuses on nursing homes,
drug/medical device companies, not for profit, and boutique hospitals. The group
referred to its findings as grim with respect to Medicare and Medicaid over billing
& fraud. Guy
Bell Sentenced for Role in Felony Medicaid Fraud Scheme (InsuranceNewsNet.com)
Company received more than $4 million
for services never rendered. Campaign
Promises a Year Later: Medicaid Fraud Collections Rise
(Newsday.com - Dec. 25, 2007) A year ago, candidates for governor
and attorney general promised voters they would crack down on Medicaid fraud to
bring back millions of taxpayer dollars that have been wasted by unscrupulous
doctors and scam artists. Cuomo
vs. Medicaid Fraud
(New York Post - Oct. 29, 2007) Some 18 home-health-care workers
and a patient were arrested on charges of defrauding the state through improper
billing and no-show jobs. Dentists
Charged $150K in False Medicaid Claims
(Crain's New York Business.com - Jan. 22, 2008) Five New York
City dentists overcharged the citys Medicaid program by thousands and potentially
millions of dollars for dental fillings, according to an audit released Tuesday
by state Comptroller Thomas DiNapoli. Erie
County Suing Merck for Medicaid Fraud (Buffalo Business First
- Oct. 2007) Lawsuit filed against Merck & Co., the maker of the prescription
drug, Vioxx, alleging the pharmaceutical maker defrauded the Medicaid program
of an estimated $6 million. Former
Kentucky Dentist Arrested for Medicaid Fraud (Kentucky.gov -
Dec. 21, 2007) According to the indictment, Craig L. Ralston fraudulently
billed and accepted payments from the Kentucky Medicaid Program for tooth extractions
that he did not perform between 1998 and 2004. Legislature
proposes 2008 Medicaid Fraud Waste and Abuse Reduction Initiative (CBS
Albany - Oct. 2007)
Responding to a proposed 9.7% tax hike,
the Schenectady County legislature has made several amendments to the 2008 budget
proposal. Medicaid
Fraud (Lawyers & Settlements.com
- Dec. 10, 2007)
The State and Federal Governments brought
charges against Harris Methodist Hospital in Bedford, alleging that the hospital
submitted improper Medicaid and Medicare claims.
Medicaid Fraud Suspects Busted (Bradenton
Herald - Oct. 26, 2007)
More than two dozen people were being
sought by law enforcement officials today in Onondaga County's latest crackdown
of fraud by Medicaid recipients. Medicaid
Fraud Nets Therapist Probation Term (The
Post-Standard - Oct. 24, 2007)
A respiratory therapist charged with
Medicaid fraud was sentenced to 15 years of probation and 200 hours of community
service after pleading guilty to fraud charges. Medicaid
Fraud Victimizes Public, State, Experts Say (Capital
News Service - March 21, 2008)
A Medicaid recipient dies of lung cancer
after being given a clean bill of health from unqualified doctors. Medicare
and Medicaid Fraud Happen Quite a Lot (Bay
State Detective Blog - Oct. 2007)
If you suspect fraud as far as your
Medicaid is concerned, check out these guidelines. Miami-Dade
Pediatrician Arrested for Defrauding Medicaid (Florida
Attorney General - Dec. 13, 2007)
Attorney General Bill McCollum today
announced the arrest of a Miami-Dade physician for defrauding Floridas Medicaid
program out of more than $65,000. Overpayment
to Mental Health Providers (Hudson
Valley Press Online - Dec. 26, 2007)
A psychiatrist improperly billed Medicaid
on eight separate occasions for more than 24 hours of treatment in a single day
and appears to have billed for patients he never treated. Pharmaceutical
Companies Pay $6.75M to Settle State Medicaid Fraud Case (Birmingham
Business Journal - Jan. 9, 2008)
Two pharmaceutical companies will pay
the state of Alabama to settle cases of fraudulently inflation of prescription
drug prices to the state's Medicaid Agency. Probe
Finds 30,000 Medicaid Providers Cheating on Taxes (USA
Today - Nov. 2007)
...but the government can't trim health
care payments in order to collect. Rhode
Island Receives Medicaid Fraud Settlement - (Rhode Island News
- Oct. 2007) Rhode Islands Medicaid Fraud Control Unit has recovered
$589,310 as part of a $160-million national settlement with two out-of-state companies
in a case involving Medicaid fraud. Southfield
Adult Care Consultant Accused of License Fraud - (Freep.com
- Oct. 18, 2007) A Southfield woman who worked as a Department of Human Services
consultant was arraigned on charges that she took bribes and forged paperwork
to expedite three adult foster care license applications. State
Investigating Ambulance Company Accused of Medicaid Fraud - (Myrtle
Beach Online - Nov. 15. 2007) The state attorney general's office is investigating
whether Gaffney-based Ambu-Star billed Medicaid and Medicare for providing basic
life support when it wasn't needed. Tennessee
Home and Community-Based Mental Retardation Services - (DHHS Report)
HCBS claims not properly documented by Medicaid agency - 10/25/07 Thousands
of Medicaid Providers Abuse the Federal Tax System - (Government
Accountability Office) Report to the Permanent Subcommittee on Investigations,
Committee on Homeland Security and Governmental Affairs, U.S. Senate Whistle-Blower
'Blown Away' by DOJ Reward Stance
(ABA Journal - Oct. 25, 2007) Cell Therapeutics has agreed to
settle a whistle-blower suit that contended the company marketed a cancer drug
for unapproved uses, costing Medicare millions of dollars. But the whistle-blower
could get nothing. |