Medicaid Scams: Austin Psychologists, Cedar Park Patient Employer Apprehended in Across the Country Healthcare Examination

2 Austin psychologists and a Cedar Park patient employer are dealing with criminal charges after federal private investigators implicated them of a Medicaid kickback plan including kids who had been gotten rid of from their houses by the Texas Department of Family and Protective Services.

Dr. William Joseph Dubin, 72, and his boy Dr. David Fox Dubin, 32, who runs Psychologist ARTS in Northwest Austin, are each dealing with 21 charges that consist of conspiracy and health care scams. Glen McKenzie Jr., a 67-year-old patient employer of Cedar Park, is dealing with one count of conspiracy to break the federal anti-kickback law and 5 counts of getting prohibited kickbacks.

The guys were 3 of more than 400 doctors throughout the nation who were prosecuted as part of an across the country Department of Justice healthcare scams examination.

The indictment declares that McKenzie got kickbacks from the Dubins to refer the kids to the state’s care to Psychological ARTS. The Dubins paid McKenzie 10 percent of every federal government check they got, the indictment states.

The Dubins billed Texas Medicaid and the Texas Vocational Rehabilitation Services program for these kids’ extensive psychological health evaluations with info that Dr. William Dubin had done the evaluation. Unlicensed and without supervision interns and trainees, in fact, did the work, the indictment states.

Medicaid permits partners to do psychological health evaluations, but the partners need to be accredited and monitored, and the work is billed at 30 percent less than if an expert psychologist did the work, federal detectives stated.

From January 2011 to June 2015, the Dubins billed about $300,000 to the state, the indictment states.

In overall, the Dubins are each charged with:

One count of conspiracy to breach the federal anti-kickback law.
5 counts of paying prohibited kickbacks.
One count of conspiracy to dedicate healthcare scams.
7 counts of health care scams and assisting and abetting health care scams.
6 counts of exacerbated identity theft.
Helping and abetting worsened identity theft.

The indictment states McKenzie was the president of the board for an emergency shelter house about 80 miles from Austin for kids who the state had actually eliminated from their houses but does not call the shelter. McKenzie’s LinkedIn page states he was president of the board for The Williams House Emergency Shelter for Children from May 2009 to November 2016. Discover more about medicaid fraud at

McKenzie gave up to federal authorities today, stated Daryl Fields, Texas representative for the United States Attorney’s Office. The Dubins were launched from prison on personal recognizance bonds following their preliminary looks in federal court on Wednesday.

None of the 3 males might be grabbed remark Thursday.

Read More

AG Balderas Unveils New PSAs Launching Statewide Medicaid Fraud and Facility Abuse & Neglect Detection

Albuquerque– Wednesday afternoon, Attorney General Hector Balderas revealed a brand-new statewide Medicaid Fraud and Facility Abuse & Neglect Detection Initiative that will make use of a brand-new proactive method of determining patterns of scams.

Chief law officer Balderas likewise will be calling state companies and Medicaid companies concerning the brand-new effort and requesting the collaboration of both the companies and firms in the brand-new effort.

The Attorney General likewise is connecting to the neighborhood for info through the unveiling of 2 brand-new civil service statements that will air in the Albuquerque and El Paso markets. The brand-new commercials will help New Mexicans much better determine and report Medicaid scams, and overlook and abuse in centers.

” This effort will offer a restored chance for state firms and economic sector stakeholders to collaborate to fight scams in the Medicaid system and safeguard the most susceptible members of our neighborhood from abuse, disregard, and exploitation,” Balderas stated. “With strengthened collaborations and much better info sharing, we will work relentlessly to examine and prosecute Medicaid scams and those who abuse or overlook the senior and handicapped.”

The Office of the Attorney General’s Medicaid Fraud Control Division was just recently granted a waiver from the federal government which will enable it to proactively search for scams instead of waiting on recommendations. This will offer the Office of the Attorney General the capability to find possible patterns of scams, consisting of those in the long-lasting care market. The workplace expects that this will enable detectives to see where there is space for enhancement in the system and where massive scams are happening.

This is the very first time an Attorney General in New Mexico has asked for that the federal government enable the Office of the Attorney General to proactively explore information to determine patterns of scams. As part of this effort, the workplace has established systems that permit storage of the claims internal, offering the Office of the Attorney General the capability to rapidly and straight gain access to the information.

” Protecting taxpayer dollars and take care of susceptible senior and handicapped people in our neighborhood is a concern for our workplace,” Balderas stated. “We are dedicated to establishing ingenious methods to deal with these issues, and pursue a more proactive design.”.

Attorney general of the United States Balderas will be asking the firms and companies associated with the detection of scams to devote to cooperation in program stability efforts to better secure the Medicaid system. These efforts would consist of sharing more details about the tools and approaches used in finding Medicaid scams to produce brand-new techniques to fight the scams.

The Attorney General will reveal that both state companies and service providers have the very same obligation to determine scams, safeguard susceptible people in our neighborhood, and have the exact same typical objective to stop scams, abuse and overlook.

Roughly 40 percent of New Mexicans gain access to Medicaid advantages and Medicaid dollars spend for 7 in 10 children born in the state. With threatened federal cuts to Medicaid, and in a time of increased spending plan crisis, every dollar counts in New Mexico.

In less than 3 years, a 3rd of our population will be over the age of 60. Just recently New Mexico was ranked as low as 39th with a portion of the population over 65, but in just 10 years New Mexico is forecasted to be ranked 4th in the United States.

Read More

New Mexico’s AG Punishing Medicaid Scams, Older Abuse

Albuquerque, N.M. (AP) – New Mexico Attorney General Hector Balderas has revealed brand-new civil service statements created to punish statewide Medicaid scams and senior abuse.

The AG’s Office revealed Wednesday that Balderas prepares to get in touch with state firms and Medicaid suppliers concerning the brand-new effort and requesting the collaboration of both the suppliers and companies in the brand-new effort.

Balderas likewise will be connecting to the neighborhood for details through 2 brand-new civil service statements.

He states the brand-new commercials will help New Mexicans much better recognize and report Medicaid scams, and disregard and abuse in centers.

Roughly 40 percent of New Mexicans gain access to Medicaid advantages and Medicaid dollars spend for 7 in 10 children born in the state.

Read More