Posts Tagged ‘Texas’

  • Want to Become a Whistleblower in Texas? Consider This First.

    Though the United States government has a set of laws that protect and reward whistleblowers, each state has their own set of unique statutes under which a claim must be filed. A Texas whistleblower must be wary of these laws, as they affect several aspects of any case they choose to file. Among these, the […]

  • Registered Nurse Defrauds Medicare for $17M in Home Healthcare Scheme

     A registered nurse based out of Texas was found to have utilized two separate home healthcare clinics to swindle the federal Medicare program for $17 million over the course of the seven-year scheme. The nurse, a resident of Fort Bend, Texas, owned and operated Preferred Health Services Inc. and Deligent Health Services Inc., both based […]

  • Four Hospitals Pay $8.6M to Settle Allegations of Kickbacks, Ambulance Fraud

    In a case brought to light by three whistleblowers, four Texas-based hospitals were alleged to have been paid a substantial amount of kickbacks from an array of emergency transportation providers in exchange for Medicare and Medicaid referrals. This practice, a direct violation of the Anti-Kickback Statute, resulted in the four hospitals paying $8.6 million to […]

  • Texas Company’s Blatant Fraud: The $51,952 Ambulance Ride That Wasn’t

    A team of brothers based out of Houston, Texas were recently found to have committed multiple counts of fraud by using their healthcare company to submit over $6 million in false claims to Medicare, Medicaid, and TRICARE. The pair billed the three government programs for services that were not provided, utilizing fraudulent certifications from physicians […]

  • Texas Doctor Bilks Medicare for Nearly $400 Million in Large-Scale Fraud, Forgery Scheme

    In an exceptionally heinous example of home healthcare fraud, seven doctors have been apprehended for their roles in a conspiracy to defraud both Medicare and Medicaid alike. Altogether, they have been ordered to pay over $342 million in restitution to recover the money bilked by the extensive false claims submitted over the course of the […]

  • Texas-Based Home Healthcare Facilities Work Together to Defraud Medicare

     In what is being called the “largest criminal health care fraud takedown in the history of the Department of Justice,” three separate home healthcare facilities were found to have been separately billing Medicare for the same services – which were oftentimes not provided or medically necessary – resulting in the government program paying over $40 […]

  • Texas Home Health Agency Paid Patient Recruiters Illegal Kickbacks

     After a nine-year conspiracy, a Houston-based home health agency has finally been brought to justice after defrauding Medicare for over $13 million. It was found that, between February 2006 and June 2015, the agency submitted falsified medical records and paid kickbacks to patient recruiters, physicians, and Medicare beneficiaries in order to bilk Medicare for services […]

  • It Only Takes One Bad Egg to Spoil the Whole Basket

    Hospice care was contrived out of the desire to create a model for end-of-life quality, and generally speaking, hospice facilities provide such care without issue. To do so, these facilities generally encompass a team-oriented approach, with focuses on pain management, emotional support, and spiritual devotion – all of which are expertly tailored to the needs […]

  • When Greed Goes Too Far: As Hospice Fraud Skyrockets, Death Toll Rises

    A large-scale fraud scheme uncovered earlier this year sheds light on just how vile healthcare administrators can be in their pursuit of financial gain. Novus and Optim Health Services, a hospice provider based in Texas, were found to have submitted over $60 million in false claims to both Medicare and Medicaid – a scheme that […]