loader image
Monday, July 15, 2024
88.2 F
McAllen
We Welcome your Press Release
- Advertisement -

Texas AG Medicaid Fraud Unit Dismantles $142M Genetic Testing Fraud

Seizes $7.1M in Assets

Translate to Spanish or other 102 languages!

The Office of the Attorney General’s Medicaid Fraud Control Unit (“MFCU”) has arrested Lily Tran Daniel, Kenneth Reynolds, and Lillian Thai, who are associated with the genetic testing company ApolloMDx, for their involvement in a major healthcare fraud scheme to fraudulently bill Medicare approximately $142 million. Image for illustration purposes
The Office of the Attorney General’s Medicaid Fraud Control Unit (“MFCU”) has arrested Lily Tran Daniel, Kenneth Reynolds, and Lillian Thai, who are associated with the genetic testing company ApolloMDx, for their involvement in a major healthcare fraud scheme to fraudulently bill Medicare approximately $142 million. Image for illustration purposes

Mega Doctor News

- Advertisement -

AUSTIN, Texas – The Office of the Attorney General’s Medicaid Fraud Control Unit (“MFCU”) has arrested Lily Tran Daniel, Kenneth Reynolds, and Lillian Thai, who are associated with the genetic testing company ApolloMDx, for their involvement in a major healthcare fraud scheme to fraudulently bill Medicare approximately $142 million. MFCU and the FBI executed warrants seizing sports cars, a sailboat, and three properties, at a total value of $7.1 million, funded by illegal proceeds of the operation. 

ApolloMDx offered illegal kickbacks in order to purchase both recipient information from marketers and orders for genetic testing from doctors. In some cases, doctors made fraudulent diagnoses to make it appear as though recipients were eligible for testing when they were not. In addition, ApolloMDx altered dates of service on testing orders to make it appear that multiple DNA samples were collected on different dates to enable billing for multiple dates of service. 

The case was investigated by Sergeant Joyce Combest, Investigative Auditor Wanda Guess, and Captain Rick McCollum from the Texas Medicaid Fraud Control Unit, as well as the Department of Health and Human Services’ Office of Inspector General and the FBI. The U.S. Department of Justice Health Care Strikeforce is prosecuting the case. 

- Advertisement -

The OAG’s Medicaid Fraud Control Unit is dedicated to ensuring that those who exploit our healthcare system for personal gain are brought to justice by aggressively pursuing those who engage in all forms of healthcare fraud, safeguarding taxpayer funds, and defending the integrity of vital healthcare programs. In the last fiscal year alone, the MFCU recovered more than $236 million in settlements and judgments for Texas taxpayers.  

In Texas, Medicaid costs taxpayers over $40 billion. Federal and industry authorities estimate that fraud comprises up to ten percent of the costs of the Medicaid program, making Medicaid fraud a $4 billion problem in Texas. 

The MFCU receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $20,944,200 for fiscal year (FY) 2023. The remaining 25 percent, totaling $6,981,395, is funded by the State of Texas. For every dollar of state funding, the OAG’s MFCU recovers more than 33 dollars for taxpayers. If you suspect Medicaid fraud or abuse, or patient neglect, please report it by visiting the OAG’s website.

- Advertisement -
- Advertisement -

- Advertisement -

More Articles

STHS Hiring Event for Their Newest Freestanding Emergency Department, STHS ER Pharr, July 18th

To fill dozens of open positions at the freestanding emergency department, STHS will host a special hiring event on Thursday, July 18, 2024, from 3:00 – 5:30 p.m.

Therapist Reaches RGV Patients From Mercedes

Therapist Reaches RGV Patients From Mercedes

Driscoll, CCISD offer back to school goods to parents

Driscoll is partnering with LEAD First and Corpus Christi Independent School District to deliver all your back-to-school needs in one place!

STHS Neurosciences & Stroke Institute Earns AHA/ASA Stroke Care Award

The award recognizes the STHS Neuroscience & Stroke Institute’s dedication to guaranteeing stroke patients get the most appropriate treatment across its stroke care-certified facilities
- Advertisement -
×