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Legal & Regulatory Issues

The district attorney of Texas’ Harris County has repeatedly complained to federal Medicare officials about fraud involving private ambulances, only to have her concerns ignored for more than two years, according to a Houston Chronicle report. DA Pat Lykos says…

After conducting an investigation, the Associated Press claims officials fighting Medicare fraud regularly suspend providers only to “quickly reinstate them after appeals hearings that government employees don’t even attend,” according to an AP report from ABC News. These speedy reinstatements…

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A Lawrence County grand jury has indicted anesthesiologist Lee Adam Balaklaw, MD, of allegedly intentionally or wantonly submitting fraudulent or false claims to Medicaid totaling $90,000 for 29 patients, according to a WSAZ report. Read the full report in Becker’s…

Here are the 50 states with the number of Medicaid fraud investigations from fiscal year 2010. Information is from the Dept. of Health and Human Services Office of Inspector General and is based on Medicaid Fraud Control Units. Investigations are…

Atlanta physician Robert Williams, MD,  has been sentenced to one year and three months in federal prison after he admitted to filing more than $2 million in fraudulent Medicare and Medicaid claims, according to a news report. Read more at…

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