July 2015
- July 30, 3015; Tennessee Department of Finance and Administration
- Round-Up Of 24 People Charged With TennCare Fraud
NASHVILLE, Tenn. - A statewide round-up of suspects has netted two dozen arrests of suspects charged with TennCare fraud. The suspects are charged in various counties on numerous TennCare fraud charges, including under-reporting income, claiming living out of state, failing to disclose resource information and transferring property in order to qualify for TennCare, doctor shopping, presenting forged prescriptions or selling prescriptions. all received using TennCare benefits. - July 29, 2015; Alaska Department of Law
- Anchorage Doctor Sentenced to 3.5 years for Fraudulently Billing Medicaid and Tampering with Physical Evidence
The Alaska Department of Law, Medicaid Fraud Control Unit, announced today that 40-year-old Dr. Shubhranjan Ghosh was sentenced to 3.5 years of active incarceration. Dr. Ghosh pled guilty to Medical Assistance Fraud and Tampering With Physical Evidence, which he committed between 2010 and 2013 at his practice, Ghosh Psychiatric Services. - July 27, 2015; New York Attorney General
- A.G. Schneiderman Announces Arrest Of Nurse For Allegedly Falsifying Patient Records To Cover Up His Neglect
QUEENSBURY - Attorney General Eric T. Schneiderman today announced the arrest and arraignment of Shawn Clark, a Licensed Practical Nurse (L.P.N.), on charges that he falsely documented the medical records of several residents at The Stanton Nursing and Rehabilitation Centre in order to cover up his failure to properly provide narcotics to residents. - July 27, 2015; New York Attorney General
- A.G. Schneiderman Announces Arrest Of Former Nursing Home Employee Charged With Stealing From Resident Trust Account
SYRACUSE-Attorney General Eric T. Schneiderman today announced the arrest and arraignment of Tequilla Miller, 28, a former finance associate at the Loretto Nursing Home, for allegedly stealing from a trust account established for residents' funds. Miller served as the Syracuse-based nursing home's "resident banker," maintaining the account and handling residents' personal funds on a daily basis. An audit of the account discovered a shortage of $21,488.10 over a period of 20 months, from November 2012 through August 2014. Miller faces up to seven years in prison on charges of grand Larceny in the third degree and falsifying business records in the first degree. - July 23, 2015; Nevada Attorney General
- Attorney General Laxalt Pursues Fraudulent Health Care Provider
Las Vegas, NV - Nevada Attorney General Adam Paul Laxalt announced that Jeremy Sean Long, 40, of Las Vegas, was sentenced for submitting false Medicaid claims for behavioral health services he failed to provide. Long entered a guilty plea to one count of intentional failure to maintain adequate records, a gross misdemeanor. The fraud was committed between June and August 2012. - July 20, 2015; New York Attorney General
- A.G. Schneiderman Announces Prison Term Of Up To 21 Years For NYC Medical Supply Company Operator In Medicaid Fraud Scheme
NEW YORK - Attorney General Eric T. Schneiderman today announced the conviction and sentencing of Humphrey Udeh, 43 of Baldwin, NY, for defrauding Medicaid of over $1 million. Udeh billed the state for over three thousand units of a highly-specialized and expensive liquid pediatric nutritional formula, when he actually dispensed over-the-counter nutritional supplement formulas. New York State Supreme Court Acting Justice John G. Ingram presided over Udeh's jury trial in Supreme Court, Kings County, and today sentenced Udeh, who was convicted of grand larceny and other healthcare fraud-related charges, to serve 7 to 21 years in state prison and pay a $1.7 million fine. - July 15, 2015; Florida Attorney General
- Pasco Doctor and Office Manager Arrested for More Than $100,000 in Medicaid Fraud
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit and the University of South Florida Police Department and Pasco County Sheriff's Office today arrested a Pasco County physician and his office manager for defrauding the Florida Medicaid program out of more than $100,000. After receiving a complaint from the Division of Insurance Fraud and Amerigroup Health Plan, the Medicaid Fraud Control Unit began an investigation revealing that Dr. Daniel Jiannetto and Michelle McKleroy, his office manager and ex-wife, allegedly billed for medical services that were never rendered. - July 15, 2015; New York Attorney General
- A.G. Schneiderman Announces Guilty Plea Of Nurse Who Bilked Medicaid Out Of $30k
ROCHESTER - Attorney General Eric T. Schneiderman today announced a guilty plea in the case of Sisteria Turner, 34, a Licensed Practical Nurse from Rochester, for stealing nearly $30,000 from the Medicaid program by billing for hundreds of hours of care that she did not provide. The hours were billed during the course of her work in providing private nursing services to disabled and special needs children. - July 15, 2015; Tennessee Department of Finance and Administration
- Mother And Daughter In Rutherford County Charged With TennCare Fraud
NASHVILLE, Tenn. - A mother and daughter are charged in Rutherford County in separate TennCare fraud charges involving doctor shopping for prescription drugs. - July 15, 2015; Tennessee Department of Finance and Administration
- Knox Co. Man Charged With TennCare Doctor Shopping
NASHVILLE, Tenn. - A Knox County man is charged with TennCare fraud involving doctor shopping, or using TennCare to go to multiple providers in a short time period to obtain controlled substances. - July 10, 2015; Connecticut Attorney General
- AG Jepsen: State Reaches False Claims Act Settlement with Providers at Children's Behavioral Health Clinic
A social worker and a doctor will pay a total of $120,000 to Connecticut's Medical Assistance Program (CMAP) through settlement agreements that resolve civil allegations involving the filing of false and fraudulent claims for payments at a Branford-based outpatient behavioral health clinic for children, Attorney General George Jepsen said today. - July 10, 2015; Louisiana Attorney General
- AG's Medicaid Fraud Control Unit Jails Two Women in Separate Cases
Attorney General James D. "Buddy" Caldwell announced today that two Louisiana women have been charged in separate Medicaid-related cases-one for felony theft and the other for felony Medicaid fraud. - July 10, 2015; Florida Attorney General
- Final Defendant Sentenced in Million Dollar Medicaid Fraud Case
TALLAHASSEE, Fla.-Attorney General Pam Bondi today announced the sentencing of Robert Patrick Garcia, 39, for improperly billing more than a million dollars worth of targeted case management services to the Florida Medicaid program, while employed as a corporate officer at Family Behavior Services, LLC, located in Hallandale Beach. - July 10, 2015; New York Attorney General
- A.G. Schneiderman Announces $22.4 Million Settlement With NYC Pharmacy For Improper Medicaid Billings For Injectable Pediatric Drug Synagis
NEW YORK - Attorney General Eric T. Schneiderman today announced a settlement that returns $22.4 million to the state's Medicaid program. The agreement reached with the pharmacy Trinity Homecare LLC, primarily owned by Walgreen Co., began with a whistleblower claim of improper conduct and false Medicaid billings by the company and led to an expanded investigation by the Attorney General. The settlement relates to Synagis, an injectable drug for certain at-risk premature infants. The drug can cost more than $2,000 per dose, with some babies requiring additional vials based on their weight. The settlement resolve claims of improper prescriptions and billings for patients in New York City, Dutchess, Orange, Rockland, Sullivan, Westchester and Ulster counties, and on Long Island, and allegations that Trinity lacked basic documentation for Medicaid claims it submitted or proof it delivered Synagis. - July 10, 2015; New York Attorney General
- A.G. Schneiderman Announces Homicide Conviction By Jury Of Long Island Nursing Home Healthcare Worker In Resident Death
NEW YORK - Attorney General Eric T. Schneiderman today announced the conviction of five employees of the Medford Multicare Center for Living, Inc. in Medford, New York. The defendants were tried by jury in Suffolk County Supreme Court, Hon. John B. Collins presiding. Charges are still pending against the corporation operating the home and its administrator for the cover up surrounding the 2012 death. - July 6, 2015; Louisiana Attorney General
- AG Buddy Caldwell Announces Two Arrests Following Investigations into Medicaid Fraud
Attorney General Buddy Caldwell announced today that two caregivers are facing charges involving separate schemes to defraud the state's Medicaid program. - July 6, 2015; Florida Attorney General
- Orange County Woman Sentenced to 18 months in Prison for Medicaid Fraud
TALLAHASSEE, Fla.- Attorney General Pam Bondi today announced the prosecution of Shanqual Marshall-Gunn for billing more than $47,000 worth of targeted case management services that were fraudulent or not authorized to the Medicaid program. Marshall-Gunn, the owner of Second Chances TCM, Inc., paid monetary incentives, or kickbacks, to both employees and clients who referred new business to her company. - July 2, 2015; Tennessee Department of Finance and Administration
- Sumner Co. Woman Charged with TennCare Fraud
NASHVILLE, Tenn. - A Sumner County woman is charged with fraudulently obtaining TennCare healthcare insurance benefits by falsely claiming a dependent in order to qualify for TennCare benefits. - July 2, 2015; Tennessee Department of Finance and Administration
- Dyer Co. Woman Charged with TennCare Drug Fraud
NASHVILLE, Tenn. - A Dyer County woman is charged with TennCare fraud in connection with selling prescription drugs paid for by the state's healthcare insurance program. - July 1, 2015; Pennsylvania Attorney General
- Attorney General Kane announces legal action against Golden Living nursing homes
HARRISBURG - Attorney General Kathleen G. Kane today announced her office has filed a legal action against a chain of nursing home companies accused of misleading consumers by failing to provide basic services to elderly and vulnerable residents. - July 1, 2015; Louisiana Attorney General
- Two Women Caught Cheating Medicaid Program
Attorney General Buddy Caldwell announced today that two caregivers have been arrested for Medicaid fraud after illegally billing the Louisiana Medicaid Program for health-care services that were not performed.
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