Texas dentists pay $3.1 million to resolve allegations they faked services provided for children, U.S. Attorney s Office says
The settlement also resolves allegations that the dentists submitted claims using Medicaid provider numbers misrepresenting the dentists who did the procedures.
Credit: Jon Tyson on Unsplash Author: Jay Wallis (WFAA) Updated: 5:07 PM CDT May 14, 2021
Some Texas dentists and companies paid millions of dollars for a scam involving fake services provided for children, acting U.S. Attorney Prerak Shah of the Northern District of Texas announced Friday.
Two North Texas dentists, their dental management companies and some affiliated pediatric dental practices paid the United States $3.1 million to resolve allegations.
Imperial Valley News Imperial Valley News Center University of Miami to Pay $22 Million to Settle Claims Involving Medically Unnecessary Laboratory Tests and Fraudulent Billing Practices Details Written by IVN
Miami, Florida - The University of Miami (UM) has agreed to pay $22 million to resolve allegations that it violated the False Claims Act by ordering medically unnecessary laboratory tests, and submitting false claims through its laboratory and off campus hospital based facilities (“Hospital Facilities”).
According to court documents, the United States alleged that UM engaged in three practices that violated the False Claims Act. First, the government alleged that UM knowingly engaged in improper billing relating to its Hospital Facilities. Medicare regulations allow medical systems to convert physician offices into Hospital Facilities provided they satisfy certain requirements. Billing as a Hospital Facility results in
University of Miami to pay $22 million settlement over allegations of violating False Claims Act
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FILE - In this Aug. 25, 2020, file photo, a pedestrian walks past a sign stating that masks, used to prevent the spread of COVID-19, are required to be worn on campus, by an entrance to the University of Miami in Coral Gables, Fla. As more and more schools and businesses around the country get the OK to reopen, some college towns are moving in the opposite direction because of too much partying and too many COVID-19 infections among students. (AP Photo/Wilfredo Lee, File) (Copyright 2020 The Associated Press. All rights reserved)
COVID-19 vaccines are supposed to be free. So, why did one San Antonio man get charged hundreds of dollars for his shots?
Defenders investigation reveals it’s a nationwide problem
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SAN ANTONIO – Richard Garza’s wife is a dentist in San Antonio. As a health care worker, she wanted to secure COVID-19 vaccines for herself and her husband as fast as she could.
So in early December, just weeks after the vaccines were approved for use, Dr. Kelsey Garza began the hunt for appointments.
“I work directly in people’s mouths and in aerosols and everything, so I feel like it’s a little bit higher of a risk. So I definitely wanted to get vaccinated as early as possible,” Dr. Garza said. “(Richard) is exposed to me and he does fall into 1B, so he’s at a higher risk of getting severe COVID-19 illness. So I wanted to make sure that we got him vaccinated as soon as possible as well.”
Details Written by Justice Department
Sioux Falls, South Dakota - Neurosurgeon Wilson Asfora, M.D. of Sioux Falls, and two medical device distributorships that he owns, Medical Designs LLC and Sicage LLC, have agreed to pay $4.4 million to resolve False Claims Act allegations relating to illegal payments to Asfora to induce the use of certain medical devices, in violation of the Anti-Kickback Statute, as well as claims for medically unnecessary surgeries.
Medical Designs and Sicage agreed to pay an additional $100,000 in penalties to settle allegations that they violated the Open Payments Program by failing to report to the Centers for Medicare & Medicaid Services (CMS) Asfora’s ownership interests and payments made to Asfora.