News

September 14, 2012 — Back in 2010, Dallas dentist Richard Malouf, founder of All Smiles Dental Center, was making so much money outfitting low-income children with Medicaid-sponsored cosmetic braces and stainless steel crowns that the clinic caught the interest of the Chicago private equity firm, Valor Equity. Today, the venture capitalists own the majority interest of All Smiles and the...

September 12, 2012 — The Small Smiles chain of dental clinics, owned by Church Street Health Management, closed earlier this year when the chain filed for bankruptcy amid accusations of dental Medicaid fraud. Now one Small Smiles dental clinic located in Syracuse, NY, has been reopened under new management. Local dentist Michael Wilson, DDS, the owner of Wilson Dental, will operate the...

Many cases of health care fraud are brought to light by employees or even patients who are pressured to participate in the scheme themselves. The federal False Claims Act encourages people to come forward by allowing whistleblowers to share in the government’s recovery under the qui tam provisions of the act. These brave individuals play a crucial role in saving taxpayers money and...

The United States Department of Justice has announced the filing of charges against two owners of Spectrum Care P.A., a Houston mental health care company, for their alleged role in a $97 million scam against Medicare. In addition, other employees of the health care provider have also been charged with various counts of health care fraud, conspiracy to defraud the United States and make...

Because of a very high rate of suspicious Medicare billing practices among Texas home healthcare providers, some have advocated freezing the enrollment of new home healthcare providers until the questionable practices are brought under control. According to the Fort Worth Star-Telegram. Texas alone accounted for almost 40 percent of the nation’s suspicious billings. Among the...

The University of Illinois College of Law (Illinois Law) will be required to pay a fine of $250,000 to the American Bar Association (ABA) because the law school intentionally inflated the test scores of its incoming students. The funds will be used to support monitoring and compliance efforts related to data reporting and publication requirements.

The ABA’s censure criticized...

Denver residents Leonid Stolyar and Yelena Stolyar weren’t able to save their marriage, but they did keep their Medicare and Medicaid fraud scheme going despite their divorce and Ms. Stolyar’s lifetime ban against billing Medicare or Medicaid for healthcare services. According to their plea agreement, the Stolyars will spend approximately three years each in federal...

Another Miami home healthcare agency owner has pleaded guilty for participating in a Medicare fraud scheme. This scheme resulted in $42 million in false billing against Medicare. Florida has been a hothouse for Medicare and Medicaid fraud, with high dollar schemes thriving in Miami.

Eulises Escalona has pleaded guilty to conspiracy to commit health care fraud. Under his plea...

Checarol Robinson, the owner of P&C Adult Day Center, has pleaded guilty to participating in a $10 million psychotherapy fraud. At sentencing this December, Ms. Robinson could be sentenced to a maximum of 10 years in prison as well as a fine of $250,000 for each count.

Ms. Robinson allegedly provided personal information about the Medicare beneficiaries in her care to a fraudulent...