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1,804 results on '"Medicaid fraud"'

1. Long Islanders charged in $2.75B Medicare, Medicaid fraud scheme

Subjects
Organized crime, Medicare, Medicaid fraud, Health care industry, Health care industry, Business, Business, regional
Abstract

Byline: Adina Genn Federal prosecutors say seven Long Islanders were criminally charged in federal court in Brooklyn Wednesday in connection to a $2.75 billion Medicare and Medicaid fraud scheme. The [...]

Published
2024

2. SURVEILLING DISABILITY, HARMING INTEGRATION.

Author

Nair, Prianka

Subjects
*DISCRIMINATION (Sociology), *AMERICANS with Disabilities Act of 1990, *PEOPLE with disabilities, *DATA security, *MEDICAID fraud
Abstract

Scholars, policymakers, and the media acknowledge that surveillance can threaten privacy and increase the risk of discrimination. Surveillance of people with disabilities, however, is positioned as being a convenient way of averting a host of problems: It can be seen as a way to protect people with disabilities from abuse and neglect, to prevent Medicaid fraud, and to proactively protect school communities from mass shootings. Increasingly, as surveillance systems become more sophisticated, state and federal laws have begun sanctioning, and occasionally mandating, the surveillance of people with disabilities for these purposes. This Essay interrogates narratives that justify the increased surveillance of people with disabilities by analyzing them through the lens of the Americans With Disabilities Act (ADA) and its integration mandate. The ADA expresses a clear goal of preventing the unnecessary segregation and isolation of people with disabilities. To achieve this aim, states must provide services, programs, and activities in the most integrated setting possible. Looking at laws and policies that mandate surveillance through the lens of integration draws attention to their oppressive and isolating effects. This Essay breaks new ground by centering disability discrimination in its analysis of surveillance. It is the first to demonstrate how ostensibly benevolent surveillance systems embed punitive, carceral practices within therapeutic and community-based settings. It yields new insights about how surveillance systems deployed within a community can result in a constrained and superficial, rather than expansive, idea of integration. [ABSTRACT FROM AUTHOR]

Published
2024

5. HOME HEALTH CARE COMPANIES OWNER CONVICTED OF MEDICAID FRAUD

Subjects
Home care, Medicaid fraud, Medicaid, Home care services industry, Home care services, News, opinion and commentary
Abstract

COLUMBUS, OH -- The following information was released by the United States Attorney's Office Southern District of Ohio: A federal jury convicted Sally Njume-Tatsing, 47, formerly of Pickerington, of Medicaid [...]

Published
2024

7. WILLIAMSTOWN COUNSELOR CHARGED WITH MEDICAID FRAUD

Subjects
Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

MONTPELIER, VT -- The following information was released by the office of the Vermont Attorney General: The Attorney General's Office announced that licensed Alcohol and Drug Counselor Johan Green, 53, [...]

Published
2024

8. MASSACHUSETTS PSYCHOTHERAPIST CHARGED WITH MEDICAID FRAUD

Subjects
Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

MONTPELIER, VT -- The following information was released by the office of the Vermont Attorney General: The Attorney General's Office announced that licensed psychotherapist Robert Martin DuWors, Ph.D., 71, of [...]

Published
2024

13. OWNER OF MICHIGAN-BASED LEARNING CENTER PLEADS GUILTY TO MEDICAID FRAUD

Subjects
School facilities, Education parks, Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

LANSING, Mich. -- The following information was released by the office of the Michigan Attorney General: Kaila Oman, 37, of Galesburg, was arraigned yesterday in the 54B District Court in [...]

Published
2024

16. AG NESSEL CHARGES DETROIT WOMAN WITH MEDICAID FRAUD

Subjects
Attorneys general, Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

LANSING, Mich. -- The following information was released by the office of the Michigan Attorney General: Deseraye Dejarnette, 29, of Detroit, was arraigned yesterday in the 54B District Court in [...]

Published
2024

17. ATTORNEY GENERAL GRIFFIN ANNOUNCES MEDICAID FRAUD ARREST

Subjects
Attorneys general, Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

LITTLE ROCK, Ark. -- The following information was released by the office of the Arkansas Attorney General: Griffin: 'Committing Medicaid fraud is an egregious affront to the hardworking taxpayers, but [...]

Published
2024

19. CHARLOTTE LICENSED CLINICAL SOCIAL WORKER CONVICTED OF MEDICAID FRAUD, COVID-19 RELIEF FRAUD, AND MONEY LAUNDERING

Subjects
United States. Federal Bureau of Investigation, Medicaid fraud, Medicaid, Social workers, Money laundering, News, opinion and commentary
Abstract

CHARLOTTE, NC -- The following information was released by the United States Attorney's Office for the Western District of North Carolina: A Charlotte behavioral health services provider was convicted today [...]

Published
2024

20. MONTAGUE CAREGIVER CHARGED WITH MEDICAID FRAUD

Subjects
Medicaid fraud, Medicaid, Caregivers, News, opinion and commentary
Abstract

LANSING, Mich. -- The following information was released by the office of the Michigan Attorney General: Today, Julia Bland, 28, of Montague, was arraigned in 54-B District Court in Ingham [...]

Published
2024

22. MEDICAID FRAUD CONTROL UNIT: PREVENTING MEDICAID FRAUD AND ABUSE

Subjects
Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

SALT LAKE CITY, UT -- The following information was released by the office of the Utah Attorney General: The Utah Attorney General's Office has an office dedicated to protecting the [...]

Published
2024

25. FOUR TBI MEDICAID FRAUD CONTROL SPECIAL AGENT POSITIONS ANNOUNCED IN WEST TENNESSEE

Subjects
Medicaid fraud, Medicaid, Fraud investigation, News, opinion and commentary
Abstract

NASHVILLE, TN -- The following information was released by the Tennessee Bureau of Investigation: The Tennessee Bureau of Investigation is seeking interested and qualified candidates for the following positions: TBI [...]

Published
2024

26. AG CAMPBELL ANNOUNCES INDICTMENTS IN WORCESTER-BASED HOME HEALTH MEDICAID FRAUD SCHEME

Subjects
United States. Department of Health and Human Services. Office of Inspector General, Attorneys general, Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

BOSTON, MA -- The following information was released by the office of the Massachusetts Attorney General: Defendants allegedly submitted over $500,000 in false claims to MassHealth for home health services [...]

Published
2024

27. LABRADOR LETTER -- HUMAN TRAFFICKING, MEDICAID FRAUD, ARTIFICIAL INTELLIGENCE

Subjects
Artificial intelligence, Medicaid fraud, Medicaid, Prostitution, Artificial intelligence, News, opinion and commentary
Abstract

BOISE, ID -- The following information was released by the Office of Attorney General of Idaho: Dear Friends, The legislative session is drawing to a close and I wanted to [...]

Published
2024

28. NILES COUPLE PLEADS GUILTY TO MEDICAID FRAUD CHARGES

Subjects
Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

LANSING, Mich. -- The following information was released by the office of the Michigan Attorney General: A Niles couple charged with several felony counts of Medicaid fraud through their counseling [...]

Published
2024

29. AG MOODY'S MEDICAID FRAUD CONTROL UNIT SECURES NEARLY $150,000 FROM MEDICAL EQUIPMENT SUPPLIER LINCARE INC

Subjects
Lincare Inc., Medical equipment -- Evaluation, Attorneys general, Medicaid fraud, Medicaid, Physiological apparatus -- Evaluation, News, opinion and commentary
Abstract

TALLAHASSEE, Fla. -- The following information was released by the office of the Florida Attorney General: ùAttorney General Ashley Moody's Medicaid Fraud Control Unit secured nearly $150,000 through a multistate [...]

Published
2024

31. ATTORNEY GENERAL GRIFFIN ANNOUNCES MEDICAID FRAUD CONVICTION OF SEARCY BUSINESS OWNER

Subjects
Attorneys general, Medicaid fraud, Medicaid, Business owners, News, opinion and commentary
Abstract

LITTLE ROCK, Ark. -- The following information was released by the office of the Arkansas Attorney General: Griffin: 'Putting Arkansans at risk by using unlicensed, uncredentialed interns to provide treatment [...]

Published
2024

33. LIVONIA COUNSELING SERVICES BUSINESS OWNER ARRAIGNED ON 5 COUNTS OF MEDICAID FRAUD

Subjects
Medicaid fraud, Medicaid, Business owners, Psychiatric services, News, opinion and commentary
Abstract

LANSING, Mich. -- The following information was released by the office of the Michigan Attorney General: Today, Glynn Merriewether, 59, of Livonia, was arraigned in the 54B District Court before [...]

Published
2024

35. Medicaid: Fraud, Payments and Beneficiaries

Author

Nadia M. Hedegaard and Nadia M. Hedegaard

Subjects
Medicaid beneficiaries, Medicaid fraud, Medicaid
Abstract

Medicaid, a joint federal-state health care financing program, is one of the nation's largest sources of health care coverage for low-income and medically needy individuals. It provides vital health care to over 70 million Americans, regardless of preexisting conditions and must spend taxpayer dollars appropriately and efficiently. This book looks at current issues facing the Medicaid program.

Published
2020

36. CARR'S MEDICAID FRAUD DIVISION OBTAINS GUILTY PLEA IN FULTON COUNTY

Subjects
Medicaid fraud, Medicaid, Health care industry, Health care industry, News, opinion and commentary
Abstract

ATLANTA, GA -- The following information was released by the office of the Georgia Attorney General: Attorney General Chris Carr today announced that William David Miller, 55, of Atlanta, has [...]

Published
2023

38. ATTORNEY GENERAL ELLISON CHARGES THREE IN LARGEST-EVER MEDICAID FRAUD PROSECUTION BY AGO

Subjects
United States. Department of Health and Human Services, Attorneys general, Medicaid fraud, Medicaid, News, opinion and commentary
Abstract

ST. PAUL, MN -- The following information was released by the office of the Minnesota Attorney General: Three defendants arrested, charged with 24 counts totaling $11 million in fraud Minnesota [...]

Published
2023

41. TWO KALISPELL CHIROPRACTORS TO PAY $450,000 FOLLOWING MEDICAID FRAUD SETTLEMENT

Subjects
Blue Cross and Blue Shield of Montana, Health insurance industry, Medicaid fraud, Medicaid, Chiropractors, News, opinion and commentary
Abstract

HELENA, MT -- The following information was released by the Montana Office of the Attorney General: Two chiropractors in Kalispell have agreed to pay the State $450,000 for restitution to [...]

Published
2023

43. HEALTH CARE FRAUD MEANS NEVER HAVING TO SAY YOU'RE SORRY.

Author

Elberg, Jacob T.

Subjects
*HEALTH care fraud prevention, *MEDICAID fraud, *FALSE claims laws, *MEDICAL laws
Abstract

For decades, the Department of Justice (DOJ) has issued a steady flood of press releases announcing False Claims Act (FCA) settlements against health care entities and extolling the purportedly sharp message sent to the industry through these settlements about the consequences of engaging in wrongdoing. The FCA is the primary mechanism for government enforcement against health care entities engaged in wrongdoing, and it is expected to be DOJ's key tool for addressing fraud arising out of government programs in response to the COVID-19 pandemic. DOJ has pointed to three key goals of its enforcement efforts (deterrence, incentivizing cooperation, and building a culture of compliance in the health care industry). However, careful examination of the settlements touted in those DOJ press releases calls into question whether DOJ's settlement practices are conveying the message DOJ seeks to impart or having the impact it hopes to achieve. Virtually all FCA cases resolve without requiring the defendant to admit wrongdoing, and many defendants issue explicit public denials of wrongdoing when the resolution is announced. The absence of any need to admit wrongdoing has fueled a cost-of-doing-business narrative in which health care entities are required periodically to pay inconsequential settlements to the government regardless of their conduct. DOJ thereby risks both diminishing the general deterrence value of resolutions and lending credence to the vocal skepticism among industry and the defense bar that DOJ could, in fact, prevail at trial. DOJ's willingness to allow settlements in health care fraud cases without admissions is diametrically contrary to DOJ's policy in criminal cases, which is against permitting resolutions without defendants' clear and unequivocal acceptance of responsibility for violating the law. Permitting no-responsibility settlements in the civil FCA context suggests both that DOJ pursues, illegitimately, weak cases it cannot prove at trial, and potentially weakens the general deterrence value of civil FCA claims in general. New defendants may be left with cover that they are not wrongdoers but are merely ensnared in an illegitimate money grab. Even defendants who frankly recognize that they are in violation of the statute may be comforted that they likely face paying little more than restitution, and no significant penalties or social opprobrium. These practices suggest that DOJ rewards willingness to settle, and the monetary recovery it brings, above all other factors. DOJ's focus on settling and monetary recoveries in turn lends credence to the widespread belief that civil health care fraud settlements simply do not signal wrongdoing. There is no law, policy, or practice that prevents DOJ from requiring admissions in FCA settlements. Yet an in-depth review of nearly 200 FCA resolutions involving health care entities over the past two years reveals that approximately 92% did not include defendants' clear acceptance of responsibility, and approximately 37% involved defendants actively denying responsibility. The absence of any DOJ policy favoring admissions has important negative consequences, undermining DOJ's goals of deterrence, incentivizing cooperation, and building a culture of compliance. First, when corporate actors believe DOJ will pursue claims regardless of wrongdoing and the consequences of even a settlement will be relatively painless from a financial and reputational perspective, those actors have reduced incentive to put in place compliance structures dedicated to preventing wrongdoing. Second, and perhaps more importantly, when corporate actors diminish the force of settlements with DOJ by denying responsibility, they undermine the system's legitimacy vital for DOJ to encourage cooperation and for the government and well-meaning corporate actors to cultivate an industry-wide culture of compliance. This Article examines DOJ policy both from an economic incentive perspective and in light of research surrounding the psychology of legal authority, concluding that under both lenses DOJ undercuts its own goals. With DOJ actively reforming FCA policy and the FCA poised to take center stage in the government's fight against COVID-19 program abuse, it is beyond time to address this gap in DOJ's enforcement policy. [ABSTRACT FROM AUTHOR]

Published
2021

44. Law firm adds former NYS special assistant AG for Medicaid fraud

Subjects
Law firms, Attorneys general, Medicaid fraud, Medicaid, Business, Business, regional
Abstract

Byline: Adina Genn A law firm with offices across the state has added a former New York State special assistant for Medicaid fraud. Glenn Jones, a healthcare litigator, has joined [...]

Published
2022

46. ATTORNEY GENERAL'S MEDICAID FRAUD CONTROL UNIT LEADS EFFORT TO RECOUP $477,000 IN MEDICAID, VETERANS OVERPAYMENTS

Subjects
United States. Department of Health and Human Services, United States. Department of Veterans Affairs, Attorneys general, Medicaid fraud, Medicaid, Veterans, News, opinion and commentary
Abstract

PIERRE, SD -- The following information was released by the office of the South Dakota Attorney General: South Dakota Attorney General Marty Jackley has announced that the office's Medicaid Fraud [...]

Published
2023

48. CAREGIVER ARRESTED, CHARGED IN TBI MEDICAID FRAUD CASE

Subjects
Social service, Medicaid fraud, Medicaid, Caregivers, News, opinion and commentary
Abstract

RUTHERFORD COUNTY -- The following information was released by the Tennessee Bureau of Investigation: A Murfreesboro woman faces charges of Financial Exploitation and Theft following an investigation by special agents [...]

Published
2023

49. Former Philly city worker found guilty of Medicaid fraud

Subjects
Medicaid fraud, Mental health, Medicaid, Business, General interest, Business, regional
Abstract

Byline: Robert Moran Apr. 28A Philadelphia jury has convicted a former city worker of Medicaid fraud for falsely billing for services he did not provide as a mental health professional [...]

Published
2023

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