Insurance Company Cheated Medicare Out of $1 Billion, Says Lawsuit

Josh Valdez took an executive level job in April 2010 expecting to improve medical services at two Puerto Rican Medicare Advantage health plans owned by a subsidiary of New Jersey company: Aveta Inc. But a few months after coming on board, the former government health Read More …

Some Doctors Always Charge Medicare for the Most Expensive Office Visit

A joint investigation by ProPublica and the I-Team found hundreds of New York and New Jersey doctors who have billed Medicare exclusively for the most expensive type of office visit – even though most of their peers rarely charge the top rate. Under Medicare billing Read More …

Bronx criminal enterprise preys on HIV victims to exploit $16M of Medicaid funds

Raheel Pervez and his accomplices scraped in their dirty money by paying off hundreds of HIV patients not to fill their prescriptions, all the while billing the social health care program for millions, according to prosecutors   Pervez pled guilty last month to falsifying documents Read More …

Firm Picked to Run LICH Paid $95M to Settle Medicare Fraud Suit

  The company selected to run the proposed new Long Island College Hospital paid nearly $100 million in fines to the feds to settle accusations it systematically defrauded the U.S. health care system for nearly 15 years, DNAinfo New York has learned. The U.S. Justice Read More …

Rich New Yorkers Face a Nasty Estate Tax Surprise

If you’re a New York multimillionaire, you now have another incentive to stay alive.A change this month in New York’s estate tax, which was billed as tax relief for the wealthy, contains a hidden wrinkle that could leave some multimillionaires with a much bigger surprise Read More …

Medicare Seniors Like ObamaCare’s Team Approach

As the U.S. health care system moves away from fee-for-service medicine to more accountable care that uses a team of health professionals, seniors covered by Medicare say they are okay with these new models that include nurses, social workers and other allied health professionals in the Read More …

State’s Medicaid program paid cheating dentists for questionable billings: report

A new federal report will be released Wednesday showing that shady dentists and orthodontists billed the state’s Medicaid program for questionable procedures on children. One dentist claimed to have provided one child 42 tooth fillings in a single visit. The report shows a dentist averaged Read More …

Surgeon bills Medicare $85M for ‘procedures he never performed’

Dr. Syed Imran Ahmed He’s the Bernie Madoff of bariatric surgery. A fat-cat Long Island Gold Coast surgeon billed Medicare for $85 million for procedures he never performed — even claiming to have operated on two patients who had already died, according to a Brooklyn Read More …

Bronx pharmacy owners, druggist busted in $10 million AIDS Medicaid scam

The first of two suspects was arrested at the 184th Street Pharmacy. The Bronx pharmacist committed Medicaid fraud by doling out AIDS medication and buying prescriptions back   The owners of the 184th St. Pharmacy and its druggist allegedly bought HIV medication back from AIDS Read More …

Home-health care could take hit when pay goes up

Salaries of city-based health aides will increase Saturday from $10.93 to $14.09 as mandated by the state’s 2011 Medicaid reforms, but health-care providers say the state must do more to cover those costs.   State-mandated pay increases for home-health aides go into effect Saturday, and Read More …