Mental health company owner, Catinia Denise Farrington of Cyprus, Texas, pleaded guilty to health care fraud and tax evasion in September of 2018. As of March 1st, 2019, she has been sentenced to 60 months in prison after profiting $4 million from Medicaid and just under $400,000 from her tax evasion scheme.
Health Care Fraud...
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Category: Medicaid Fraud
Target Corp.to pay $3 million to settle fraudulent Medicaid billing whistleblower case
Target Corp. will pay $3 million to settle allegations that it violated federal and state law by improperly billing and receiving payments from the state's Medicaid program (MassHealth), Attorney General Maura Healey announced today.
Under the terms of the settlement, Target Corp. will pay $3 million to resolve allegations that from August 2009 through July...
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Three home health care employees plead guilty to home health care Medicaid fraud of $87 Million
Three employees of home health care companies, Travis Moriarty, 37, Tiffhany Covington, 41, and Brenda Lowry Horton, 48, all of Pittsburgh, Pennsylvania, pleaded guilty conspiracy to defraud the Pennsylvania Medicaid program. The companies Moriarty Consultants, Inc. (MCI), Activity Daily Living Services, Inc. (ADL), Coordination Care, Inc. (CCI), and Everyday People Staffing, Inc. (EPS). MCI,...
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Behavioral health therapist sentenced to three years in prison for Medicaid fraud
A Greensboro woman was sentenced Thursday to more than three years in prison for making fraudulent Medicaid claims in 2013 and 2014.
Renee Christine Borunda, 36, who managed a behavioral healthcare company will also have to pay back more than $225,000 to the Medicaid program. She pleaded guilty...
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Skilled nursing company Signature HealthCare pays $30 million to settle federal case charging Medicare and Medicaid fraud
Signature HealthCARE, LLC (Signature), will pay more than $30 million to settle cases based on Medicare and Medicaid fraud charges for giving patients more therapy than they needed, even if they were sick and could not tolerate the therapy sessions. Signature, which owns and operates approximately 115 skilled nursing facilities,has agreed to resolve allegations...
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Massachusetts Medicaid fraud rises to nearly $17 million up 9 percent but whistleblowers also increasing
Massachusetts Whistleblower Law
Massachusetts Medicaid fraud hit a new record, rising to $17 million, says the state auditor. Suzanne Bump. Bump released an annual report Monday outlining a nine percent year-over-year increase in public assistance benefit fraud in fiscal year 2017. She noted that the fraud "represents a small percentage of overall spending, but has...
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Pediatricians pay $750,000 to settle Medicaid fraud allegations
A New York-based pediatrics practice Freed, Kleinberg, Nussbaum, Festa & Kronberg M.D., LLP (Practice), as well as various current and former partner physicians of the Practice, including Arnold W. Scherz, M.D., Mitchell Kleinberg, M.D., Michael Nussbaum, M.D., Robert Festa, M.D., and Jason Kronberg, D.O. (Partners) have agreed to pay $750,000 to settle...
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MedMax Compounding Company Bilked Tricare Millions of Dollars, and Sold Unneeded Drugs
Steven M. Butcher, 39, owner of MedMax LLC, which provided marketing services for compounded medications, pleaded guilty before U.S. District Judge John Michael Vazquez in Newark federal Court for conspiracy to commit healthcare fraud and violate the Anti-Kickback Statute.
Butcher used his company, MedMax, to convince people to obtain unneeded compound medications and then bill...
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A Look at The True Cost of Medicaid Fraud and How to Fight it
Fighting Medicaid Fraud
Hearing the term Medicaid fraud may conjure up images of lawyers and government officials, but the true cost is actually much closer to home for many people. Fraud and abuse in Medicaid cost taxpayers billions of dollars every year. Funds intended to help the sick end up being wasted.
But worse than the...
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Emergency Room billing upcoding schemes making a comeback
Upcoding In The ER Could Be Stealing U.S. Tax Dollars
It’s an old and shady practice that has been in the forefront of Medicare and Medicaid fraud for years. Upcoding can hit taxpayers hard and drive emergency room bills to the thousands.
What is Upcoding?
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