TDMR received an email from a provider that a new problem had developed in credentialing a dentist that adds even more time to the process. No TPI in welcome letter Apparently, TMHP is no longer including the TPI (Texas Provider … Read More
Multiple dental practice owners and co-conspirators were charged in the Eastern District of Pennsylvania for allegedly engaging in a multifaceted racketeering conspiracy through a multi-state network of dental practices and related dental businesses. On Jan. 18, a federal grand jury … Read More
A Naples physician charged last summer in authorizing fraudulent billing of $2.6 million to Medicare has given up his license to practice in Florida and entered a guilty plea in federal court, records show. Dr. Omar Saleh, 37, voluntarily relinquished … Read More
Texas Mission of Mercy (TMOM), a mobile dental clinic that delivers pain-relieving dental care at no cost to underserved Texans, is coming to Marble Falls on February 24-25, 2023. According to the American Dental Association, many adults do not have … Read More
BOSTON (WWLP) – A dentist from Massachusetts pleaded guilty Wednesday to embezzling more than $1.2 million from his employer as well as fraudulently receiving benefits from the government using his employer’s name. According to the U.S. Attorney’s Office, 65-year-old Jack … Read More
A St. Paul-based home health care company is being investigated by the Minnesota Attorney General’s Office for fraudulently overbilling the state’s Medicaid program, which is designed to support low-income residents and people with disabilities. State investigators took computers, financial reports, … Read More
SAN ANTONIO – A federal grand jury in San Antonio recently returned an indictment charging a group of three defendants with 22 counts related to healthcare fraud, identity theft and kickbacks. According to court documents, Kuba Zarobkiewicz, 35, of San … Read More
The Texas Medical Association (TMA) said its top priorities this legislative session are issues around scope-of-practice and women’s reproductive health. As part of its interim report for the current session, the House Select Committee of Health Care Reform (HSCHCR) recommended … Read More
Texas dentist recently completed 100 cases using the Yomi dental implant robot. Hanife Canan Bayraktaroglu, DDS, performed the procedure at Smile Rehab Centers in Southlake, Texas. The Yomi robotic system assists providers in the preoperative and intraoperative phases of dental … Read More
Leaders from both the House and Senate released their respective chambers’ preliminary budgets for the 2024-2025 biennium on Wednesday. Both budgets propose nearly $289 billion from total funds and $130.1 billion in general revenue, some $50 billion short of the … Read More
Texas Health Resources is giving millions of dollars to community groups in North Texas, including $1.7 million to groups working in Fort Worth. The nonprofit hospital system is giving $748,314 to the Taste Project, the pay-what-you-can restaurant in Fort Worth. … Read More
BRYAN, Texas (KBTX) – Health For All has teamed up with the University of Texas Health Science Center at Houston to provide free dental clinics. The partnership took place with the School of Dentistry’s new Mobile Dental Van that set … Read More
The California Dental Association filed a legal action in late December 2022 against Delta Dental of California challenging Delta’s 2023 adjustments to Premier and PPO provider agreements in California. The “swift and severe” adjustments, effective Jan. 1, include significant fee … Read More
The ADA Council on Dental Practice is encouraging dentists and their teams to acknowledge the essential contributions of their dental assistants during this year’s Dental Assistants Recognition Week, March 5-11. Led by the American Dental Assistants Association, the theme for … Read More
BATON ROUGE, La. (BRPROUD) — Former St. Gabriel Health Clinic CEO has been sentenced to 82 months in federal prison following the conviction of a Medicaid fraud scheme on Thursday, Jan. 19. According to U.S. Attorney Ronald Gathe, Jr., Victor … Read More
This seems like a silly question because surely the agency that pays billions of dollars to DMOs and MCOs and keeps the Medicaid show on the road in Texas should know something—and perhaps should know everything– about the credentialing of their Medicaid dentists in Texas. You wouldn’t be … Read More
A federal public health emergency rule put in place during the beginning of the pandemic in 2020 that prevented Texas residents from being dropped from Medicaid will expire in April. About 1.6 million Texans joined the state Medicaid program during … Read More
Jan. 19—VALDOSTA — While the Valdosta Mall is usually bustling with shoppers most Saturdays, the shopping complex became a sprawling resource hub for seniors last weekend thanks to a local Medicare group. Senior Medicare Patrol, a program that assists Medicare … Read More
Damian Williams, the United States Attorney for the Southern District of New York, announced that MATTHEW TAYLOR WITKOWSKI pled guilty today to a one-count criminal Information charging him with conspiracy to commit health care fraud. WITKOWSKI is scheduled to be … Read More
he U.S. Department of Veterans Affairs has announced the appointment of Jason Cave, J.D., as the new medical center director for VA North Texas Health Care System headquartered in Dallas. “Mr. Cave’s leadership as the new medical center director for … Read More
MOUNT LAUREL, NJ — Rowan College at Burlington County (RCBC) is giving parents and kids something to smile about next month. RCBC will be hosting the 18th annual Give Kids a Smile Day on Friday, February 3. The event aims … Read More
Sun Life and DentaQuest have donated $100,000 to Embrace Boston, a fund established in 2017 to create a memorial tribute to Dr. Martin Luther King, Jr. and Coretta Scott King. “We are pleased to contribute to this important project in … Read More
The Massachusetts Attorney General’s Office announced a $3.5 million settlement with Aspen Dental Management, Inc. (Aspen Dental) resolving claims that the dental chain cheated thousands of Massachusetts consumers through a series of bait-and-switch advertising campaigns. The consent judgment, entered in … Read More
SANFORD, N.C. — A Sanford pastor will soon be sentenced on federal charges involving illegal Medicare reimbursements. Court documents state Pastor Daniel Owens netted more than $10,000 in kickbacks and bribes as part of a Medicare fraud scheme. Owens is … Read More
SACRAMENTO, Calif. — The U.S. Attorney’s Office recently announced 51-year-old Akop Atoyan was sentenced to 25 months in prison for conspiracy to commit health care fraud —crimes tied to Sacramento health care and hospice agencies. According to an investigation by … Read More
As any frequent readers of this website will know, North Texas is no stranger to fraud and greed in healthcare. The Lown Institute, in its own snarky way, has “awarded” two healthcare fraud stories from North Texas in its 2022 … Read More
The American Dental Association’s Health Policy Institute last month published the results of an ongoing survey it has been conducting since January 2022, quizzing some 3,000 participating private practice dentists each month to measure the impact of COVID-19 and other … Read More
CHARLOTTE, N.C. — A federal jury has convicted a Charlotte man for his efforts to defraud North Carolina’s Medicaid program out of millions of dollars over the course of three years. 57-year-old Donald Booker was found guilty of conspiracy to … Read More
PUEBLO, Colo. (KRDO) — Three women face numerous charges for a Medicaid fraud scheme out of Southern Colorado involving an inmate. According to a press release from Attorney General Phil Weiser, the women claimed one of them provided home healthcare … Read More
(RALEIGH) Attorney General Josh Stein announced that Donald Booker of Charlotte was convicted yesterday of conspiracy to commit health care fraud, multiple violations of the Anti-Kickback Statute, money laundering conspiracy, and money laundering. “I’m grateful to our federal and state … Read More
Mitias Orthopaedics, PLLC, it’s owner Dr. Hanna “Johnny” Mitias, and a subsidiary Champion Orthopedics, have agreed to pay $1,870,714.83 to resolve allegations the orthopedic health services providers knowingly submitted false claims to Medicare and Medicaid, the Department of Justice announced … Read More
In an official release, the IRS explains details of the case against John Grisham, of Hickory Creek, Texas, Rob Wilburn, of San Antonio, Texas, and Richard Speights Jr., of Lake Charles, Louisian. The trio were all associated with the genetic … Read More
Planned Parenthood Federation of America and Texas Planned Parenthood affiliates have asked a judge for a ruling in their favor in a lawsuit brought by the state of Texas that accused Planned Parenthood of Medicaid fraud. The suit was filed … Read More
Orlando, Fla.-based Aventus Health has filed a class action complaint against United Healthcare for allegedly failing to reimburse Aventus for 35,000 COVID-19 tests. These tests were submitted to UHC as an out-of-network provider, according to a release shared with Becker’s. … Read More
Over the last several months TDMR has been receiving an increasing number of complaints regarding credentialing for Texas Medicaid dental providers. There have been numerous fixes over the years such as PEMS, the Provider Enrollment & Management System, which is … Read More
Three men have been charged with conspiring to defraud the federal government out of more than $107 million after submitting fraudulent genetic testing claims to Medicare. A superseding indictment was opened Friday, charging John Grisham and Rob Wilburn, of Texas, … Read More
A retired dentist plans to ask the state next week to change its rules as to what procedures dental hygienists are allowed to perform. John Echternach, who has spent 40 years in dentistry with a practice in Henniker, New Hampshire, … Read More
A new Oregon program offering dental insurance for veterans launches this month — and state officials say they have funding to serve about 10 times more veterans than have enrolled so far. They are encouraging veterans to contact their county … Read More
Molina Healthcare Inc. MOH, 1.56% said Tuesday it expects its California Medicaid revenue to double to about $3.9 billion for full year 2024 from about $1.9 billion now, after it was awarded Medi-Cal contracts by the California Department of Health … Read More
GREAT NECK, NY — A Great Neck doctor who pleaded guilty in March to illegally billing Medicare over $3 million over five years is heading to prison for 2 1/2 years, prosecutors said Thursday. Morris Bernard, a 58-year-old gastroenterologist, fraudulently … Read More
