11 Texas Cities To Pay Nearly $1.7M Over Medicaid Fraud

DALLAS (AP) – Eleven Texas cities have agreed to pay a total of nearly $1.7 million to resolve allegations of Medicaid fraud.

U.S. Attorney James Jacks on Tuesday announced the agreement with Plano, Frisco, Richardson, Mesquite, Celina, DeSoto, Corpus Christi, Cedar Hill, Rowlett, North Richland Hills and University Park.

The cities cooperated with the investigation and do not admit wrongdoing or liability in the settlement with Texas and the federal government.

Investigators say the dispute involved how claims were coded to be submitted to Medicare and Medicaid for city-dispatched 911 ambulance runs between 2006 and 2010. Certain codes allow reimbursement at a higher rate.

The investigation began with a February 2010 whistleblower lawsuit brought by Douglas Moore, who can receive up to 30 percent of the recovered settlement.

(© Copyright 2011 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten or redistributed.)


One Comment

  1. Lyn C. Cromwell, CDP says:

    Whistle Blowers are the folks who can help the Super Committee find Fraud and Over Expenditures to be removed from Program Budgets. The Super Committee should call upon these resources to assist them rather than slander the character and ruin the careers of these people. The way I have seen Whistle Blowers treated by Congress in the past.

    I would also like to see the Super Committee be changed to be made from CBO and OMB Employees rather then Members of Congress and the Senate. OMB and CBO Employees are not beholding to PAC money the way Members of Congress and the Senate are. And will thusly be much better able to make necessary adjustments to Budget numbers accordingly.

  2. Quit Whinning says:

    I see this over and over again when I go to the doctor, claims are submitted more then once every time. Ever wonder why.

Comments are closed.

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