Mathias Consulting - Prescription Drug Fraud

Missouri AG Nixon Recovers $462926 In Ongoing Medicaid Fraud

Thu, 9 Aug 2007 19:31:17 -0700

Attorney General’s News Release

August 7, 2007
Nixon recovers $462,926 in ongoing Medicaid fraud investigation in Dekalb County

Jefferson City, Mo. — Attorney General Jay Nixon announced today that the Missouri Medicaid program will be receiving $462,926 from a pharmacy in DeKalb County that is under investigation for Medicaid fraud. Nixon said the Medicaid Fraud Control Unit in his office has recovered the money from the Randolph Drug Store in Maysville.

Texas Physician Sentenced for $10 Million Scam

Thu, 9 Aug 2007 19:18:06 -0700

Press Release
The United States Attorney’s Office
Southern District of Texas

August 6, 2007

LOCAL PHYSICIAN SENTENCED TO PRISON FOR DEFRAUDING INSURANCE COMPANIES OF $10 MILLION

(HOUSTON) Dr. Ira Klein, a physician who specialized in treating Hepatitis C patients, has been sentenced to more than 11 years in federal prison, without parole, for health care and mail fraud, United States Attorney Don DeGabrielle announced today.

Attorney General Abbott Recovers $15.7 Million In Medicaid Costs Under National Settlement (PharmaLive)

Sat, 9 Dec 2006 08:57:40 -0800

PharmaLive: Attorney General Abbott Recovers $15.7 Million In Medicaid Costs Under National Settlement

AUSTIN, Dec. 7, 2006 - Texas Attorney General Greg Abbott today announced Texas will receive more than $15.7 million under a national settlement with one of the nation’s largest pharmaceutical companies.

Investigators Arrest Pharmacy Owner Indicted For Medicaid Fraud

Thu, 26 Oct 2006 20:36:21 -0700

Tuesday, October 24, 2006
Attorney General Abbott’s Investigators Arrest Pharmacy Owner Indicted For Medicaid Fraud

Erasmo Cantu arrested in Brownsville; over $5 million in theft alleged

BROWNSVILLE - Texas Attorney General Greg Abbott today announced the arrest of a Cameron County pharmacy owner who was indicted by a grand jury on Oct. 18 for felony offenses involving more than $5 million in alleged fraudulent Medicaid reimbursements for excessive prescription refills.

Blount County couple arrested for TennCare fraud (WATE Channel 6)

Fri, 7 Apr 2006 09:42:45 -0700

Blount County couple arrested for TennCare fraud

Michael Dolinger is accused of four counts of aiding and abetting his wife in fraudulently obtaining TennCare benefits by using her card to pay for forged prescriptions for the painkiller hydrocodone and alprazolam. It’s used to treat anxiety disorders and panic attacks.

Local Doctor Convicted On Healthcare Fraud Charges (NewsNet5.com)

Fri, 13 Jan 2006 15:00:34 -0800

NewsNet5.com - Print This Story - Local Doctor Convicted On Healthcare Fraud Charges

CLEVELAND — A doctor was convicted of health care fraud and other charges for prescribing painkillers that prosecutors say resulted in the deaths of two patients under his care.

Dr. Jorge Martinez contends his clinics in Parma and Boardman in northeast Ohio offered people relief from chronic pain.

Pharmacist arrested for fraud

Fri, 6 Jan 2006 15:08:56 -0800

Pharmacist arrested for fraud

A Winston County pharmacist has been arrested on federal healthcare fraud charges.

63-year-old Gerald Max Burleson of Haleyville is charged with health care fraud and drug mis-branding.

Albany Oncologists To Repay Medicaid $1.2 Million (NY AG Press Release)

Wed, 7 Dec 2005 13:20:26 -0800

Albany Oncologists To Repay Medicaid $1.2 Million

ALBANY ONCOLOGISTS TO REPAY MEDICAID $1.2 MILLION
Physicians Group Overbilled for Drugs Dispensed to Patients

Attorney General Eliot Spitzer today announced that a group of upstate physicians and their management company have paid the State of New York more than $1.2 million to settle a lawsuit that the group improperly billed Medicaid for physician-administered drugs.

Pharmacy Owner Receives Jail In Medicaid Fraud (NY AG Press Release)

Wed, 7 Dec 2005 13:16:08 -0800

Pharmacy Owner Receives Jail In Medicaid Fraud

PHARMACY OWNER RECEIVES JAIL IN MEDICAID FRAUD
Will pay $1.1 Million to Resolve Civil and Criminal Liability

Attorney General Eliot Spitzer announced today that a Central Valley pharmacy owner was sentenced to jail for stealing $257,000 from the Medicaid program.

Four arrested in AIDS drug scam (Herald.com | 12/02/2005)

Tue, 6 Dec 2005 17:55:58 -0800

Herald.com | 12/02/2005 | Four arrested in AIDS drug scam

BY JOHN DORSCHNER

jdorschner@herald.com

In what could be the start of a massive crackdown on scams involving HIV/AIDS patients, law enforcement officials announced the arrest of four persons, including two doctors, charged with illegally diverting millions of dollars in drugs.

Flu Shot Fraud Indictment in Texas

Fri, 18 Nov 2005 10:22:41 -0800

Press Release: US Dept of Justice, US Attorney, Southern District of Texas, Chuck Rosenberg

November 17, 2005

John Yembrick
Public Affairs Specialist
P. O. Box 61129 Houston, TX 77208
Phone: 713/567-9388 Fax: 713/718-3389
CONTACT US

GRAND JURY INDICTS TWO FOR FAKE FLU VACCINE

(HOUSTON, TX) – United States Attorney Chuck Rosenberg today announced the unsealing of a 14-count federal indictment charging Iyad Abu El Hawa, 35, of Houston, and Martha Denise Gonzales, 48, of Baytown, with conspiracy and tampering with a consumer product. These charges stem from an investigation into a scheme to administer fake flu vaccines at several Houston-area locations. The investigation began in October 2005 after the FBI received information that fake flu vaccines may have been given at a health fair sponsored by ExxonMobil for its Baytown refinery employees.

Texas Conviction of Physical Therapist

Tue, 22 Nov 2005 11:47:24 -0800

Press Release: US Dept of Justice, US Attorney, Southern District of Texas, Chuck Rosenberg

November 17, 2005

John Yembrick
Public Affairs Specialist
P. O. Box 61129 Houston, TX 77208
Phone: 713/567-9388 Fax: 713/718-3389

(HOUSTON, TX) United States Attorney Chuck Rosenberg today announced the verdicts of a federal jury convicting Dr. Anant Mauskar, 72, of conspiracy to commit health care fraud and receiving kickbacks as a result of a scheme that cost Medicare and Medicaid health care benefit programs millions of dollars in losses due to fraudulent claims. Charged with a total of 24 counts of health care fraud in connection with Medicare and Medicaid claims for physical therapy services and durable medical equipment, Mauskar was convicted of 20 of those counts and acquitted of four.

Waging War on Prescription Drug Abuse: New Medco Analysis Reveals Prescription Drug Abusers Engage in Doctor Shopping and Script

Thu, 29 Sep 2005 13:10:03 -0700

Half of all documented cases of prescription drug abuse and drug seeking (fraud) are aged 40-49 years old
Monthly drug costs nearly 7 times that of average patient
Medco deterrent program decreased abuse by 32 percent; costs by 20 percent

FRANKLIN LAKES, N.J., Sept. 29 /PRNewswire-FirstCall/ — A new data analysis released today by Medco Health Solutions, Inc. (NYSE: MHS) provides a striking profile of people who file excessive prescription claims for drugs of potential abuse and how their risky habits are bilking the healthcare system.

TX Attorney General Sues Fraudulent Mail-order Prescription Drug Service

Fri, 3 Jun 2005 10:21:30 -0700

Texas Attorney General Press Release AUSTIN - Texas Attorney General Greg Abbott today sued a mail-order prescription drug service for exploiting seniors who need reduced-cost drugs by asking them to commit fraud by lying to drug companies about their income. Drug companies offer programs in which qualifying seniors can obtain free prescription drugs. Each drug company has different income qualifications for their programs, but these are not solely dependent upon the person’s Social Security income.

Robin Mathias Quoted in Modern Healthcare

Fri, 3 Jun 2005 10:38:34 -0700

First of many? Vaccine probe may extend beyond Connecticut

Byline: Mark Taylor

This is an excerpt. Click the link to view the full document.

Last week’s settlement by a Connecticut hospital could be just the first as state Medicaid fraud-control units explore allegations that hospitals, physicians and other providers may be billing Medicaid and private insurers for children’s vaccines they received free, according to government sources and healthcare fraud experts.

Healthcare billing fraud consultant Robin Mathias, former director of data analysis and budget for Indiana’s Medicaid program, said the vaccine billing scheme has likely spread beyond Connecticut’s borders.

“Regardless of what the federal agencies are saying, I suspect that other Medicaid programs will be looking into whether they’ve been billed for the VFC free immunizations,” said Mathias, who advises health plans about fraud schemes. “Whether or not it was fraud or an honest error, those providers would have been essentially paid twice for the same service, and that’s illegal.”

She said hospitals, many of which operate outpatient, immunization and community clinics, could face liability.

Mathias Consulting - Prescription Drug Fraud

Missouri AG Nixon Recovers $462926 In Ongoing Medicaid Fraud

Texas Physician Sentenced for $10 Million Scam

Attorney General Abbott Recovers $15.7 Million In Medicaid Costs Under National Settlement (PharmaLive)

Investigators Arrest Pharmacy Owner Indicted For Medicaid Fraud

Blount County couple arrested for TennCare fraud (WATE Channel 6)

Local Doctor Convicted On Healthcare Fraud Charges (NewsNet5.com)

Pharmacist arrested for fraud

Albany Oncologists To Repay Medicaid $1.2 Million (NY AG Press Release)

Pharmacy Owner Receives Jail In Medicaid Fraud (NY AG Press Release)

PHARMACY OWNER RECEIVES JAIL IN MEDICAID FRAUD Will pay $1.1 Million to Resolve Civil and Criminal Liability

Four arrested in AIDS drug scam (Herald.com | 12/02/2005)

Flu Shot Fraud Indictment in Texas

Texas Conviction of Physical Therapist

Waging War on Prescription Drug Abuse: New Medco Analysis Reveals Prescription Drug Abusers Engage in Doctor Shopping and Script

TX Attorney General Sues Fraudulent Mail-order Prescription Drug Service

Robin Mathias Quoted in Modern Healthcare

First of many? Vaccine probe may extend beyond Connecticut

PHARMACY OWNER RECEIVES JAIL IN MEDICAID FRAUD
Will pay $1.1 Million to Resolve Civil and Criminal Liability