Keyword: medicaidfraud

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  • CMS’ Secretive Settlement: $1.3 billion in improper hospital claims paid out

    07/02/2015 1:21:17 PM PDT · by Red Badger · 8 replies ^ | July 2, 2015 2:00 pm | Joe Schoffstall
    The Center for Medicare and Medicaid Services secretly paid out over a billion dollars in improper hospital claims earlier last month, despite auditors labeling them unnecessary previously. The payments, which were quietly announced on June 1 by CMS, totaled $1.3 billion and involved 1,900 hospitals and 300,000 claims that had been already denied by CMS auditors on two different levels as medically unnecessary. The Department of Health and Human Services Office of Medicare Hearings and Appeals settled hundreds of thousands of appeals for 68 cents on the dollar. The money used to cover the claims will be taken from the...
  • US sues NYC over Medicaid claims worth millions

    10/28/2014 4:27:48 AM PDT · by Olog-hai · 4 replies
    Associated Press ^ | Oct 27, 2014 6:38 PM EDT
    The federal government has sued New York City, saying it ripped off Medicaid for millions of dollars by submitting tens of thousands of false claims. […] The lawsuit says the city and a computer company used computer programs to dodge a requirement that Medicaid be billed only after private insurance coverage is exhausted. The lawsuit says false diagnosis codes were submitted to Medicaid. …
  • Breaking: Third Medicaid fraud lawsuit emerges against Planned Parenthood Gulf Coast

    05/21/2014 12:25:28 PM PDT · by Morgana · 4 replies
    Jill Stanek ^ | Jill Stanek
    A third lawsuit has emerged accusing Planned Parenthood Gulf Coast of committing Medicaid fraud. Former PPGC accounts receivable manager Patricia Carroll is alleging her former employer falsified Medicaid claim forms and double billed. Carroll joins former Planned Parenthood Gulf Coast employee Karen Reynolds, who won her case in 2013 and received a $1.25 million bounty from the $4.3 million settlement paid by PPGC to Obama’s Department of Justice, and former PPGC employee Abby Johnson, whose lawsuit accusing PPGC of $6 million in fraud is still pending. Carroll originally filed a sealed whistleblower lawsuit in 2012, but at some point the...
  • Abortionist tied to Eric Holder gets four years in prison for $386,000 Medicaid fraud

    03/24/2014 12:24:35 PM PDT · by Morgana · 8 replies
    Life Site news ^ | Ben Johnson
    COLLEGE PARK, GA, March 24, 2014 ( – A Georgia abortionist linked to Attorney General Eric Holder has been sentenced to four years in prison for defrauding Medicaid of more than $386,000. Tyrone Cecil Malloy rented the space where he housed his abortion facility from Eric Holder’s wife and sister-in-law. Dr. Sharon Malone Holder, an OB-GYN, and Margie Malone Tuckson of Minneapolis owned the building where Malloy opened his Old National Gynecology, located at 6210 Old National Highway in College Park. Dr. Tyrone Malloy Dr. Tyrone Malloy On March 10, a jury convicted Malloy of two counts of Medicaid fraud....
  • Rep. Royce Seeks Administration Briefing on Russian Medicaid Fraud

    12/25/2013 9:15:19 AM PST · by Libloather · 3 replies
    Newsmax ^ | 12/23/13
    Republican California Rep. Ed Royce is pressing the Obama administration on how it will deal with dozens of high-living Russian diplomats who lied about their incomes to collect healthcare money meant for the poor. Royce, chairman of the House Foreign Affairs Committee, said Monday he wants a briefing on the alleged Medicaid fraud, and wrote to Secretary of State John Kerry asking how officials will handle "the law enforcement and diplomatic aspects" of the case, The Hill reported. In a complaint unsealed in federal court in Manhattan last Thursday, 49 former and current diplomats are charged with defrauding Medicaid of...
  • U.S. Charges Dozens of Russian Diplomats and Spouses With Medicaid Fraud

    12/05/2013 2:48:58 PM PST · by reaganaut1 · 22 replies
    New York Times ^ | December 5, 2013 | BENJAMIN WEISER
    Federal law enforcement authorities have charged nearly 50 past or present Russian diplomats and their spouses in a $1.5 million Medicaid fraud scheme, an unusual twist in what has become a familiar criminal story line in New York. An F.B.I. investigation revealed “the systemic fraudulent submission of falsified applications for Medicaid benefits” by the diplomats and their spouses, according to a criminal complaint unsealed on Thursday in United States District Court in Manhattan. The diplomats and their spouses obtained the benefits for pregnancies, births and first-year-of-life medical needs, generally applying at the same New York hospital, which was not identified,...
  • Latest James O’Keefe video leads to call for inquiry into Sebelius-linked group (Ruh-roh)

    11/14/2013 10:46:41 PM PST · by 2ndDivisionVet · 13 replies
    The Daily Caller ^ | November 14, 2013 | Patrick Howley
    New questions are being raised about the tax-exempt status of an Obamacare enrollment group tied to Kathleen Sebelius after it was implicated in James O’Keefe’s most recent investigative probe. O’Keefe captured an official for Enroll America, for which Health and Human Services (HHS) secretary Kathleen Sebelius admitted to fundraising, being introduced at an event as “the official group for the DNC.” O’Keefe’s work also revealed that Enroll America might be working with the political action committee Battleground Texas, possibly sharing mined data between the two groups. O’Keefe’s footage was enough to prompt the legal advocacy group Cause of Action to...
  • TX AG gets $1.4M settlement from Planned Parenthood

    07/27/2013 6:30:10 AM PDT · by Cincinatus' Wife · 9 replies
    Friendswood Jounral ^ | July 26, 2013
    The Texas Attorney General’s Office today concluded the State’s Medicaid fraud investigation into Planned Parenthood Gulf Coast, Inc. Under today’s agreement, Planned Parenthood Gulf Coast must pay $1.4 million for fraudulently overbilling the taxpayer-funded Medicaid program. After a whistleblower lawsuit was filed alleging improper billing practices by Planned Parenthood Gulf Coast, an investigation was opened by the Texas Attorney General’s Office and the Texas Health and Human Services Commission’s Office of Inspector General. The State’s investigation revealed that Planned Parenthood Gulf Coast improperly billed the Texas Medicaid program for products and services that were never actually rendered, not medically necessary,...
  • Mrs. Eric Holder co-owns abortion mill

    11/01/2012 1:05:20 PM PDT · by magdalen · 8 replies
    Jill Stanek online ^ | November 1, 2012 | Magdalen
    Breaking: Eric Holder’s wife co-owns abortion clinic building run by indicted abortionist Thanks to pro-lifers Michelle Wolven and Catherine Davis, a small group of us have been on this story for weeks. While Michelle and Catherine were digging through online records of Georgia abortion clinics, they stumbled on the fact that Attorney General Eric Holder’s wife Sharon Malone Holder co-owns with her sister an Atlanta area abortion clinic building. The building is located at 6210 Old National Highway, College Park, Georgia. The business itself is called Old National GYN. The story was so big, Catherine handed it off to
  • IRS targets, slaps liens on Rep. Daphne Campbell

    07/28/2012 1:44:40 AM PDT · by Cincinatus' Wife · 29 replies
    Miami Herald ^ | July 27, 2012 | Michael Sallah and Marc Caputo
    Already facing a Florida Medicaid fraud probe, state Rep. Daphne Campbell is being investigated by federal agents who are tracing hundreds of thousands of dollars through bank accounts tied to a web of family healthcare businesses, The Miami Herald has learned. The Internal Revenue Service has slapped $145,000 worth of liens on the lawmaker and her husband, Hubert Campbell. IRS agents have received dozens of documents from former business associates who say the Campbells scammed them. And an investigator called Campbell’s legislative aide to question her about her boss. The allegations, following years of legal troubles for Campbell and...
  • Whistleblower Lawsuit: Planned Parenthood in Texas Filed Millions in Fraudulent Medicaid Claims

    03/17/2012 9:28:03 AM PDT · by Semper911 · 18 replies · 2+ views
    Breitbart ^ | March 15, 2012 | Dr. Susan Berry
    A federal whistleblower lawsuit has been filed against Planned Parenthood of Houston and Southeast Texas, now known as Planned Parenthood Gulf Coast, charging the provider of abortion services with fraudulent Medicaid claims in the amount of nearly $6 million. The lawsuit, filed by the Alliance Defense Fund (ADF), on behalf of former Planned Parenthood clinic director, Abby Johnson, accused Planned Parenthood of submitting over 87,000 "false, fraudulent, or ineligible claims for Medicaid reimbursements” under Title XIX, in association with the Texas Women’s Health Program. The Medicaid claims, filed between 2007 and 2009, were valued at more than $5.7 million. The...
  • Abby Johnson claims millions in fraud in ‘whistleblower’ lawsuit against Planned Parenthood

    03/10/2012 3:07:45 PM PST · by NYer · 22 replies
    Life Site News ^ | March 10, 2012 | KATHLEEN GILBERT
    Former Planned Parenthood clinic manager Abby Johnson WASHINGTON, March 9, 2012 ( - Abby Johnson, a former manager at a Texas Planned Parenthood, has filed a federal “whistleblower” lawsuit alleging that the local affiliate she once worked for defrauded federal taxpayers of millions of dollars in a long-running scheme using Medicaid claims. The lawsuit is the third complaint from a former Planned Parenthood employee alleging widespread and systematic fraud at the abortion giant. Planned Parenthood of Houston and Southeast Texas, now known as Planned Parenthood Gulf Coast, submitted “repeated false, fraudulent, and ineligible claims for Medicaid reimbursements” through the Texas...
  • Ohio's Medicaid Investigated After Undercover Video Released Online

    07/20/2011 4:52:34 PM PDT · by freespirited · 7 replies
    COLUMBUS, Ohio — A Franklin County Jobs and Family Service worker was placed on paid administrative leave and at least one other person was out of work after an undercover video was released online showing workers how to receive inappropriate health care benefits. Three workers from the Franklin County Department of Job and Family Services were heard or seen in the video, along with a handful of other workers in similar offices in Madison and Marion counties, 10TV's Chuck Strickler reported. The video that appeared on the Project Veritas Web site showed actors who posed as Russian drug dealers, telling...
  • WATCH: New O'Keefe Video Uncovers Medicaid Fraud: Ohio Medicaid Russian Drug Smuggling Investigation

    07/18/2011 9:54:59 AM PDT · by · 13 replies
    Two men posing as wealthy Russian Drug Smugglers get told not to put their exotic sports cars on the Medicaid application, to classify their drug business as "babysitting," and to get abortions for their underage sisters who perform sex in exchange for drugs.
  • Former Totowa nursing home owner faces jail time in Medicaid fraud

    08/16/2010 3:23:48 PM PDT · by markomalley · 2 replies
    North Jersey ^ | 8/16/2010 | Maggie Astor
    TOTOWA — The owner of a now-closed local nursing home pleaded guilty to fraud in Superior Court on Monday, admitting that he improperly billed the state Medicaid program for more than $300,000.Piscataway resident Victor Napenas, 63, entered the plea to third-degree Medicaid fraud in his appearance before Camden County Superior Court Judge Irvin J. Snyder. The nursing home, Valley Rest Nursing Home on Bogert Street, closed in 2007.The state’s recommended sentence is 90 days in jail and three years of probation. Napenas will have to pay back the $302,877 sum plus $45,263 in penalties and $31,859 in taxes, and will...
  • Rome (GA) Couple Charged with $30 Million Medicare and Medicaid Fraud

    04/21/2010 5:49:57 PM PDT · by Larry381 · 9 replies · 522+ views
    Department of Justice ^ | April 16, 2010 | United States Attorney's Office Northern District of Georgia
    ROME, GA—GEORGE D. HOUSER, 62, and his wife, RHONDA WASHINGTON HOUSER, 46, both of Rome, Georgia, were arraigned today on charges of conspiring to defraud the Medicare and Georgia Medicaid programs of more than $30 million. GEORGE HOUSER is also charged with failing to pay over his employees’ payroll taxes to the IRS and failing to file personal income tax returns. “These defendants are charged with spending Medicare and Medicaid money to buy cars and real estate while their nursing home residents went without basic necessities, such as food and medicines,” said United States Attorney Sally Quillian Yates. “This case...
  • Houston Man Pleads Guilty in Adult Diaper Fraud Case

    06/08/2009 5:08:47 PM PDT · by Larry381 · 12 replies · 1,734+ views
    Department of Justice ^ | June 5, 2009 | United States Attorney's Office Southern District of Texas
    HOUSTON—Ene Etim Hogan, of Houston, has pleaded guilty to three counts of healthcare fraud for his role in an adult diaper fraud case, acting U.S. Attorney Tim Johnson and Texas Attorney General Greg Abbott announced today. Hogan, also known as Ernest Hogan, 59, owned and operated Shanet Medical Source, a durable medical equipment (DME) company. Through his DME company, Hogan routinely billed Medicaid for adult urinary incontinence supplies he did not deliver to the Medicaid beneficiaries or for delivering supplies in amounts significantly less than the amounts billed to Medicaid. Additionally, Hogan routinely billed Medicaid for adult urinary incontinence supplies...
  • Check it out! Pics of the "Nativity Scene" set up by the University Of Texas Young Conservatives.

    12/05/2006 9:51:35 AM PST · by redstates4ever · 57 replies · 2,605+ views
    Yahoo! News Photos ^ | 12/04/06 | staff
    "Tony McDonald, a member of the University of Texas Young Conservatives, sets up a protest anti- American Civil Liberties Union nativity scene, dubbed a 'solstice barn,' on the university's campus in Austin December 4, 2006. The display features a 'Nancy Pelosi' angel, a 'suicide bomber' shepherd, and Marx, Lenin and Stalin as the Three Wise Men." "Josh Perry, a member of the University of Texas Young Conservatives, spreads hay as he sets up a protest anti-American Civil Liberties Union nativity scene, dubbed a 'solstice barn,' on the university's campus in Austin, Texas December 4, 2006. The display features a...

    10/30/2007 9:17:26 PM PDT · by neverdem · 1 replies · 118+ views
    NY Post ^ | October 29, 2007 | NY Post
    State Attorney General Andrew Cuomo seems to be proving the worst fears about Medicaid fraud all-too-true: For prosecutors, it's a target-rich environment. And Cuomo has just started to scratch the surface. His latest announcement came Thursday: Some 18 home-health-care workers and a patient were arrested on charges of defrauding the state through improper billing and no-show jobs. The collars are the result of the AG's broad probe of the home-health-care industry - Operation Home Alone. And such abuse accounts for what, Cuomo says, amounts to tens of millions of dollars in Medicaid fraud. This certainly sounds promising. After all, the...
  • FBI raid shutters Medicare insurer (WellCare - formerly owned by George Soros)

    10/25/2007 7:52:37 AM PDT · by wagglebee · 543 replies · 4,035+ views
    St. Petersburg Times ^ | 10/25/07 | Kris Hundley
    For the past two years, analysts have been asking how fast-growing WellCare Health Plans of Tampa has been able to make so much money running government health plans for the poor and elderly. Now government investigators may be asking the same thing. On a rainy Wednesday morning, more than 200 federal and state agents swarmed WellCare's campus on Henderson Road in Tampa, forcing employees onto the sidewalk and into their cars. Steven Meitzen, 51, who arrived at WellCare about 9:40 a.m. for a job interview, said he was initially told it was a bomb scare. "Later on, I talked to...
  • Middle Eastern women accused of defrauding Medicaid (Junior Jihadis at Taxpayer Expense)

    10/01/2003 6:11:01 PM PDT · by Alouette · 26 replies · 170+ views
    Detroit News ^ | Oct, 1, 2003
    <p>LANSING -- Nearly two dozen women from the Middle East are accused of defrauding Medicaid to cover the costs of having a baby in the United States, the state attorney general's office said Wednesday.</p> <p>Attorney General Mike Cox said 23 women flew to the Detroit area specifically to deliver their babies and get emergency Medicaid benefits to pay for it. Within a few months of having their children, the women returned to their native countries, Cox said.</p>
  • False Claim - Trial lawyers aren’t the answer to Medicaid fraud.

    04/01/2006 2:58:52 PM PST · by neverdem · 6 replies · 331+ views
    City Journal ^ | 29 March 2006 | Steven Malanga
    New York state has an enormous Medicaid-fraud problem, estimated at billions of dollars a year. To strengthen the state’s weak anti-fraud program, the state assembly is pushing a New York version of the federal False Claims Act; the measure would reward whistle-blowers and their attorneys for turning in Medicaid cheats. But that measure can’t be the whole answer—indeed, by itself, it could easily create as many problems as it solves. Fighting Medicaid abuse requires a whole arsenal of weapons—new technologies to sniff out fraud, tougher criminal penalties, and increased oversight of who’s allowed into the program. Because of the power...
  • TERRI SCHINDLER SCHIAVO JANUARY 2005 Dailies: News Digest, Restating the Obvious & Thank Yous...

    12/29/2004 7:16:22 AM PST · by floriduh voter · 2,218 replies · 21,117+ views
    Free Republic & Various Sources ^ | December 30, 2004 | Floriduh Voter
    The Terri Schindler Schiavo Daily Threads are created month to month as we watch local and national news regarding Terri and her family. Since Terri's supporters are in every time zone, you may see something FIRST. Please share news with us that you don't see here already. Now, why would you want to do that? Terri's Daily Thread for September/October of 2004 was viewed over 15,000 times. Terri's November Daily Thread was viewed over 6,000 times. December's thread is over 3,000 views. More and more good folks are finding out about Terri and that judicial tyranny would take her life,...
  • U.S. Is Seeking Return of Funds From Schools

    04/30/2004 1:14:27 AM PDT · by sarcasm · 6 replies · 106+ views
    The New York Times ^ | April 30, 2004 | RAYMOND HERNANDEZ
    ASHINGTON, April 29 - The federal government is moving to recover hundreds of millions of dollars in Medicaid payments it maintains have been improperly claimed by school districts throughout New York, according to federal officials and state school administrators.The payments were all approved during the Clinton administration to help schools in New York City and elsewhere in the state cover the cost of educating children with speech disabilities, most of whom are enrolled in special education programs, these officials say.Now, though, investigators for the Department of Health and Human Services are going back through records and identifying instances in which...
  • Chiropractor gets 18 months (defrauded Medicaid in connection with patient's death )

    03/09/2004 5:21:35 AM PST · by Born Conservative · 6 replies · 171+ views
    Times Leader ^ | 3/9/04 | BRETT MARCY
    Chiropractor gets 18 months Joanne M. Gallagher, 44, was sentenced to federal prison for defrauding Medicaid in connection with patient's death in 1999. By BRETT MARCY HARRISBURG - A Hazleton chiropractor who pleaded guilty to mail fraud last year in connection with the death of one of her patients will spend 18 months in federal prison for defrauding Medicaid, a judge ruled Monday. Joanne M. Gallagher, 44, stood stoically as U.S. District Court Judge Christopher Conner delivered her sentence, but her husband, four children and dozens of her supporters could not hold back their tears. Meanwhile, seated on the...
  • Attorney General Abbott's Medicaid Fraud Officers Arrest Odessa Doctor In Child Health-care Scheme

    01/22/2004 4:53:27 PM PST · by Dubya · 4 replies · 268+ views
    TAG ^ | January 22, 2004 | Greg Abbott
    Dr. Athar Rana faces charges tied to child allegery tests and $89,000 in reimbursements AUSTIN - Texas Attorney General Greg Abbott’s Medicaid fraud investigators worked in conjunction with the FBI’s Midland office today to indict and arrest an Odessa allergist who allegedly falsified treatments on children of low-income parents, then illegally obtained reimbursements from the federal health care program. Dr. Athar Niaz Rana, 53, who operates the Odessa Asthma and Allergy Clinic at 1601 N. Grandview, was booked into the U.S. Marshall’s facility in Midland this afternoon. He is charged with health care fraud for falsely documenting specialized allergy tests...
  • Surgi Center: Abortion Clinic forced to allow both sides of the issue now

    04/21/2003 3:15:43 PM PDT · by topher · 23 replies · 533+ views
    Being a part of the Good Friday -- Holy Saturday Prayer Vigil | April 21, 2003 | Vanity -- topher
    This time last year, pro-lifers around the Atlanta area had the first "Friday before Easter Sunday" prayer vigil at a late term abortion clinic. This is Surgi Center -- which across the street from one of the TBS (Turner Broadcasting Systems) buildings at 1113 Spring Street in Atlanta. At that time, a Deputy Sheriff (who moonlighted as a security guard at the abortion clinic) would arrest Pro-Lifers for being on a public sidewalk. There were "Death-scorts" -- Escorts for those going into the abortion clinic. Supposedly some of those were involved in witchcraft. This year is the difference between day...