Medicaid expenses projected to dip — for now

DOVER — Two years after increasing $70 million in one year, Delaware’s Medicaid costs are projected to drop a small amount. The state is expected to spend about $754 million on approximately 229,000 Medicaid recipients in the fiscal year starting July 1, $6 million less than in the current year. Officials from the Division of […]

Dover doctor pleads guilty to felony health care fraud

Supreme by .

DOVER — A Dover pain doctor was sentenced to 18 months of probation Monday after pleading guilty to one count of felony health care fraud involving fraudulent billing practices. Dr. Senad Cemerlic, an anesthesiologist and owner of ABG Pain Clinic, was ordered to pay $250,000 in restitution to the state Division of Medicaid and Medical Assistance […]

Study: Medicaid gave out $11.1M in ‘potentially inappropriate payments’

  DOVER — An outside contractor tasked with identifying possible waste and fraud in Delaware’s Medicaid has singled out $11.1 million in “potentially inappropriate payments” made over a period of about three-and-a-half years. Those payments could come from doctor shopping, in-patient services that should have been billed as outpatient, and care that is not medically […]

Study finds $4.1 million in possible Medicaid fraud in Delaware

DOVER — A new report from an outside monitoring company has found $4.1 million worth of potential Medicaid fraud in Delaware. Medicaid fraud can include billing the government for unnecessary procedures or care that was not actually rendered. Ordered by the Legislature, the report was formulated by Health Integrity, which the Department of Health and […]