Recent Posts in Medicaid Fraud Category
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Prime Healthcare Primed to Pay $65M in FCA Settlement
Posted By Parker, PLLCPrime Healthcare Services and its CEO recently agreed to pay $65 million to settle a whistleblower suit alleging that 14 Prime hospitals in California violated the False Claims Act (FCA) by “upcoding” the care of Medicare patients. See Press Release, U.S. Dep’t of Justice, Prime Healthcare Services and CEO to Pay $65 Million to Settle False Claims Act Allegations (Aug. 3, 2018), ...Continue Reading -
Don't Mess with Texas Medicaid
Posted By Parker, PLLCTexas Reaches $15.2M Settlement with Fraudulent Medicaid Providers Texas Attorney General Ken Paxton announced on May 30, 2018 that the state of Texas reached settlements totaling $15.2 million with a group of Dallas-Fort Worth area Medicaid rehabilitation therapy providers that were accused of making false statements and conspiring to avoid repaying unauthorized Medicaid benefits. Background ...Continue Reading -
Physician In McAllen, Texas Convicted of Healthcare Fraud After Eighteen Years
Posted By Parker, PLLCFor 18 years, Jorge Zamora-Quezada, a physician based in McAllen, Texas, enjoyed a lavish lifestyle—flying in private jets, driving luxury vehicles, and purchasing high-end clothing—at the mercy of his patients who underwent numerous medical treatments upon false diagnosis. Zamora-Quezada and his co-conspirators traveled between the Rio Grande Valley and San Antonio conducting unwarranted ...Continue Reading -
Government Indicts California Docs for Falsified Medical Records
Posted By Parker, PLLCReading, and understanding, medical billing and records almost requires a medical degree, with the variety of tests, codes, and terms used to define each procedure. Capitalizing on the technicalities of medical billing, some providers have presented fraudulent billing to insurers and the government through Medicare and Medicaid. According to a report by the Office of the Inspector General, medical ...Continue Reading -
HHS Introduces Proposal for Medicaid Fraud Control Unit Program Changes
Posted By Parker, LLPIn September 2016, a new rule was proposed that would codify statutory changes and amend several provisions of the Medicaid Fraud Control Unit (MFCU) program. MFCUs operate in 49 states, as well as the District of Columbia, and are designed to facilitate the integrity of the Medicaid program by combatting fraud and abuse. Only twice in its nearly forty-year history has the program itself been ...Continue Reading
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