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Health Care Investigations Archives

Diagnostic lab accused of health care fraud in latest DOJ probe

The Department of Justice (DOJ) recently announced charges against diagnostic labs that were allegedly part of a health care fraud scheme involving the use of genetic testing. The agency claims the tests were sold to seniors, with promises the results would provide information about a predisposition to cancer. The DOJ states the tests were either medically unnecessary or not covered by Medicare.

Court sends psychologist to prison for health care fraud

The United States Attorney’s Office recently charged a psychologist with health care fraud. The prosecution stated the psychologist provided false claims for payment to Medicare and private insurance companies from 2011 through 2018. According to the indictment, the psychologist never provided the billed services.

CMS investigates MD Anderson, finds “serious care deficiencies”

MD Anderson Cancer Center is known throughout the country for its cancer treatment. This facility often takes on some of the most difficult cancer cases in the country. The cancer center’s reputation recently took a hit after a government agency conducted multiple investigations and found “serious care deficiencies.”

Children, mental illness & insurance: A study on ED admissions

Does health insurance impact whether a child will get emergency medical care? According to researchers who recently finished a study into the matter, if the child has a mental disorder then the answer is a resounding yes. The researchers reviewed 9,081 acute mental health emergency department (ED) visits. Based on a review of this data, the researchers found children without insurance were much more likely to get transferred compared to children who were covered by a private insurance policy.

TX faith based health care provider faces allegations of fraud

The Texas Attorney General recently accused a faith-based health care provider of fraud. The state alleges the organization collected thousands of dollars in policy payments for coverage it deemed “worthless.” The allegations led the Attorney General to file a restraining order against the company to keep it from signing up new members from the state of Texas.

Dentist faces over five years imprisonment for health care fraud

Government officials recently charged a dentist with over $1 million in fraudulent charges. After pleading guilty to the allegations, the dentist could find himself spending anywhere from 46 to 57 months in prison.

TX man skips trial, accepts plea deal in health care fraud case

A Texas man accused of health care fraud chose to skip a jury trial and accept a plea deal offered by the prosecution. The state accused the man of falsely submitting claims to Medicare and Medicaid under his father’s name.

Texas court sends ambulance operator to prison for fraud

A Texas court recently sentenced a 46-year old local man after he pleaded guilty to charges of conspiracy to commit health care fraud. The accused owned and operated the ambulance company in the Houston area from 2009 through 2012.

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