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February 4, 2019 Medicaid Fraud

Medicaid Fraud

Medicaid pays for approximately 20% of all healthcare expenses in the United States, over $600 billion each year. Well over 500,000 healthcare providers, ranging from hospital chains to individual doctors to ambulance helicopter pilots, receive payments from Medicaid every year. Inevitably a few of the providers will try to defraud […]
August 27, 2018 Medicaid Fraud

How to Report Dentist Medicaid Fraud

In every state, Medicaid covers comprehensive dental services for all enrolled children. Additionally, almost every state Medicaid program provides emergency dental services to enrolled adults. About two-thirds of the state Medicaid programs additionally cover at least some non-emergency dental services for enrolled adults. See id. Whistleblowers play a central role […]
September 21, 2015 Medicaid Fraud

Tennessee Hospice Center to Pay $1.5 Million to Resolve Allegations of Medicaid Fraud

In today’s case, we look at the Nashville-based nonprofit hospice center Alive Hospice, who is alleged to have admitted patients who did not meet the criteria for hospice coverage, and to have intentionally defrauded the government by submitting claims on behalf of these patients. While Alive Hospice representatives publicly disagreed […]
July 22, 2015 Medicaid Fraud

NY Attorney General Settles with Walgreens Pharmacy Over Unlawful Medicaid Billing Allegations

With one of the most active and often-used state False Claims Acts, New York has once again taken aim at alleged misconduct within the healthcare industry. According to a recent announcement by the New York Attorney General’s Office, the popular Walgreens pharmacy and its subsidiary Trinity Homecare, LLC have reached […]
June 18, 2015 Medicaid Fraud

Atlanta Dentist to Pay Over $320,000 to Settle Allegations of Improper Medicaid Billing

Healthcare fraud cases are not limited solely to medical doctors. Misconduct among dentists and oral surgeons is also a major issue plaguing government-funded healthcare programs. In today’s case, we review a recent instance of healthcare fraud involving an Atlanta-area dentist alleged to have submitted false claims to Medicaid for procedures […]
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