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Health Care Investigations Archives

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.

DOJ pursues healthcare fraud case, alleges billions in violations

The Department of Justice (DOJ) released the federal indictments for a group of individuals charged in one of the largest cases of healthcare fraud in recent history. The case is the result of a joint operation involving many agencies including the Federal Bureau of Investigation, U.S. Department of Health and Human Services Office of Inspector General and the Internal Revenue Service Criminal Investigation as well as various state agencies throughout the country.

Acupuncturist faces 65 years in prison for health care fraud

The United States Department of Justice created the Health Care Fraud Unit to investigate allegations of health care fraud. This unit does not just focus on doctors and hospitals. Any professional that submits a bill with Medicare, Medicaid or other health insurance providers can find themselves the subject of the unit’s scrutiny and under investigation for alleged health care fraud.

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