Fraud Cases
Missouri AG Nixon Recovers $462926 In Ongoing Medicaid Fraud
Submitted by Robin Mathias on Thu, 08/09/2007 - 7:28pm. News and Commentary | Fraud Cases | Medicaid Fraud Cases | Prescription Drug FraudAttorney General’s News Release
August 7, 2007
Nixon recovers $462,926 in ongoing Medicaid fraud investigation in Dekalb County
Jefferson City, Mo. — Attorney General Jay Nixon announced today that the Missouri Medicaid program will be receiving $462,926 from a pharmacy in DeKalb County that is under investigation for Medicaid fraud. Nixon said the Medicaid Fraud Control Unit in his office has recovered the money from the Randolph Drug Store in Maysville.
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Texas Physician Sentenced for $10 Million Scam
Submitted by Robin Mathias on Thu, 08/09/2007 - 7:10pm. News and Commentary | Fraud Cases | Physician Fraud Cases | Prescription Drug Fraud Press Release
The United States Attorney’s Office
Southern District of Texas
August 6, 2007
LOCAL PHYSICIAN SENTENCED TO PRISON FOR DEFRAUDING INSURANCE COMPANIES OF $10 MILLION
(HOUSTON) Dr. Ira Klein, a physician who specialized in treating Hepatitis C patients, has been sentenced to more than 11 years in federal prison, without parole, for health care and mail fraud, United States Attorney Don DeGabrielle announced today.
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Attorney General Abbott Recovers $15.7 Million In Medicaid Costs Under National Settlement (PharmaLive)
Submitted by Robin Mathias on Sat, 12/09/2006 - 9:54am. Fraud Cases | Medicaid Fraud Cases | Prescription Drug FraudAUSTIN, Dec. 7, 2006 - Texas Attorney General Greg Abbott today announced Texas will receive more than $15.7 million under a national settlement with one of the nation’s largest pharmaceutical companies.
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New Nerve Test, a Moneymaker, Divides Doctors (New York Times)
Submitted by Robin Mathias on Tue, 11/14/2006 - 7:30am. News and Commentary | Breaking News | Fraud Cases | Kickbacks | Physician Fraud CasesAny test which doctors provide themselves (self-referral) is an opportunity for fraud. To identify suspect cases, measure the number of tests per 1,000 patients for doctors performing the test themselves, compared to those who refer patients to another provider. You may need to make adjustments for patient diagnosis or health status.
Of course looking to evidence is most important. Are these doctors qualified to perform the service? Is the diagnostic test effective as a screening tool or should its uses be more limited? Does the test result in more treatment? Is the treatment effective?
Here are some highlights from an article from the New York Times about a product with high fraud potential:
Corruption reported at NJ med school - Houston Chronicle
Submitted by Robin Mathias on Tue, 11/14/2006 - 6:54am. Fraud Cases | Kickbacks | Medicaid Fraud Cases» Robin Mathias's blog | read more | 4438 reads
Dentist who diagnosed nonexistent cavities reaches agreement - FtWayne.com
Submitted by Robin Mathias on Thu, 10/26/2006 - 8:41pm. News and Commentary | Dental Fraud Cases | Fraud CasesAP Wire | 10/24/2006 | Dentist who diagnosed nonexistent cavities reaches agreement
“ANGOLA, Ind. - A dentist accused of diagnosing cavities that did not exist will not face prison time, according to an agreement filed in Steuben Circuit Court.
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Investigators Arrest Pharmacy Owner Indicted For Medicaid Fraud
Submitted by Robin Mathias on Thu, 10/26/2006 - 8:33pm. News and Commentary | Fraud Cases | Links to Press Releases | Medicaid Fraud Cases | Prescription Drug Fraud Tuesday, October 24, 2006
Attorney General Abbott’s Investigators Arrest Pharmacy Owner Indicted For Medicaid Fraud
Erasmo Cantu arrested in Brownsville; over $5 million in theft alleged
BROWNSVILLE - Texas Attorney General Greg Abbott today announced the arrest of a Cameron County pharmacy owner who was indicted by a grand jury on Oct. 18 for felony offenses involving more than $5 million in alleged fraudulent Medicaid reimbursements for excessive prescription refills.
STATE INVESTIGATION REVEALS WIDESPREAD MEDICAID FRAUD
Submitted by Robin Mathias on Thu, 10/26/2006 - 8:15am. News and Commentary | Fraud Cases | Links to Press Releases | Medicaid Fraud Cases Department of Law
The State Capitol
Albany, NY 12224
For More Information:
518.473.5525
For Immediate Release
October 25, 2006
STATE INVESTIGATION REVEALS WIDESPREAD MEDICAID FRAUD
Doctor and pharmacists among those indicted for multi-million dollar fraud
Attorney General Eliot Spitzer and State Medicaid Inspector General Kimberly O’Connor today announced that, after a 4-month undercover investigation, prosecutors and investigators have dismantled a Medicaid fraud ring involving a doctor, pharmacists, several city pharmacies, millions in fraudulent Medicaid billings and large monetary transfers to individuals in Pakistan.
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Major Medicaid Fraud Ring Dismantled - North Country Gazette
Submitted by Robin Mathias on Thu, 10/26/2006 - 8:06am. News and Commentary | Fraud Cases | Medicaid Fraud Cases Major Medicaid Fraud Ring Dismantled - North Country Gazette -
“ALBANY-Following after a four-month undercover investigation conducted by the state Attorney General’s office and the state Medicaid Inspector General’s office, prosecutors and investigators have dismantled a Medicaid fraud ring which involving a doctor, pharmacists, several city pharmacies, millions in fraudulent Medicaid billings and large monetary transfers to individuals in Pakistan.
Sixteen individuals and five corporations have been indicted in the ongoing investigation and a civil action has been filed against 20 individuals and entities freezing assets and seeking the recovery of more than $22 million…”
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National Medicaid transport probed -- The Washington Times
Submitted by Robin Mathias on Wed, 10/25/2006 - 12:34pm. News and Commentary | Fraud Cases | In the News | Medicaid Fraud CasesNational Medicaid transport probed — The Washington Times
“Since so much money is involved here, the federal government certainly has a very keen interest in how it is spent,” Donald White, spokesman for the HHS inspector general, said yesterday of the nationwide look at Medicaid transportation costs.
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