Medicaid fraud

Medicare Fraud Enforcement Efforts Are Rising in Texas

(October 27, 2015): Over the past year, Medicare fraud enforcement efforts throughout Texas have resulted in multiple convictions.  These increased enforcement efforts should serve as a reminder to all Texas health care providers and suppliers that full compliance with applicable statutory and regulatory requirements is not an option — it is a necessity. I. Medicare […]

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Dentist Alleged to Have “Systematically Bilked” MassHealth Dental Fraud Scheme

(December 23, 2013): A recent state audit of a Massachusetts dentist has reportedly uncovered numerous instances of MassHealth dental fraud, alleging that dentist fraudulently billed the state’s “MassHealth Insurance Program”. According to the state’s auditor, the dentist “systematically bilked the MassHealth Dental Program”. In all, the audit claims to have found over $150,000 in improper

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HHS Publishes Proposed Rules on Medicaid RACs

(November 30, 2010): The United States Department of Health and Human Services (“HHS”) recently published a Proposed Rule applying the Recovery Audit Contract (RACs) process to claims under the Medicaid program. As background, the RAC process has been a part of the Medicare program since 2005, first as a demonstration project from 2005 – 2008,

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