Wyoming Psychologist Will Serve Prison Time for Health Care Fraud
A Wyoming Psychologist has admitted he committed health care fraud by falsely filing Medicaid claims. Gibson Buckley Condie, 57, of Powell, Wyoming has been sentenced to three years in prison and ordered to approximately $2.28 million in restitution, according...
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Category: Medicaid Fraud
Kool Smiles dental clinics pay $23.9 million to settle whistleblower False Claims Act case of Medicaid fraud
Dental management company Benevis LLC (formerly known as NCDR LLC) and more than 130 of its affiliated Kool Smiles dental clinics for which Benevis provides business management and administrative services, will pay the United States and participating states a total of $23.9 million, plus interest, to resolve allegations that they knowingly submitted false claims for...
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Mylan Pharma pays Massachusetts $20.3 million for underpaid rebates to Medicaid for EpiPens
Pharmaceutical company Mylan will pay a total of $20.3 million to the Massachusetts Medicaid program (MassHealth) to resolve allegations that it knowingly underpaid rebates owed to the Medicaid program for EpiPens dispensed to MassHealth members, Attorney General Maura Healey announced today.
The payment is part of a global settlement with the United States, the District...
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Home Health Agency must face whistleblower suit citing massive Medicare and Medicaid fraud
The Visiting Nurse Service of New York, which says it is the largest U.S. nonprofit home health care agency, will face a whistleblower lawsuit accusing it of defrauding Medicare and Medicaid and failing to provide patients with care prescribed by doctors. U.S. District Judge Alison Nathan in Manhattan said the plaintiff whistleblower Edward Lacey...
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Mylan Pharma may have over billed Medicaid for the EpiPen by several hundred million dollars
According to recent news reports Mylan NV may have been paid over one billion more by Medicaid for EpiPen allergic-reaction treatments than it should have from 2006 to 2016. This is more than what Mylan NV said it agreed to pay to settle overcharging allegations. The company said in October to pay $465 million...
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Texas attorney general lawsuit charges CVS with cheating Medicaid by exaggerating prices on meds
CVS and Walgreens, the two largest pharmacies in Texas have been charged with cheating the Medicaid program by exagerrating prices on medications and raking in larger reimbursements than they would be allowed.
CVS' filed a lawsuit in December, stating that the pharmacy had the state's blessing to use the prices that are now asserted for...
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Mylan Labs refuses to appear before Senate Judiciary Committee concerning Medicaid overcharges
Mylan Laboratories, the manufacturer of the EpiPen , which spiked the cost of the product from $100 for a two-pack in 2009 to $608, has turned down a request to appear before the Senate Judiciary Committee next week. Sen. Chuck Grassley(R-Iowa) announced that executives at Mylan turned down his request to appear at...
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Mylan exects seeking to finalize $465 million settlement with feds for Medicaid overcharges
Mylan is trying to finalize a $465 million settlement with the federal government for Medicaid overcharges. The investigation involves the classification of EpiPen as a generic rather than a branded product, which led to significantly smaller rebates to state Medicaid programs. Mylan’s announcement earlier this year of a near doubling of the price...
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Tenet Healthcare pays $513 million to settle whistleblower charges of kickbacks for Hispanic pregnant patient referrals
The U.S. hospital chain, Tenet Healthcare Corporation,will pay over $513 million to resolve criminal charges and civil claims relating to a scheme to defraud the United States and to pay kickbacks in exchange for patient referrals. The criminal and civil complaints filed by theThe Department of Justice and the state of Georgia in 2014...
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Skilled nursing facility settles Medicaid lawsuit for $28 million
A Nskilled nursing facility has agreed to pay $28 million and implement reforms to settle a lawsuit alleging fraud, neglect and criminal conduct by the facility's owners and staff. A civil lawsuit claimed the owners of Medford Multicare Center in Medford, NY, "looted the corporation" by cutting staffing and service and diverting Medicaid funds...
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