Dental billing receives in-depth review

During the second quarter of fiscal year 2023, the OIG’s Medicaid Provider Field Investigations (PFI) team reviewed dental providers exhibiting billing practices that could indicate fraud, waste or abuse. Recent investigations have identified billing trends that indicate some providers are … Read More

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Florida therapists accused of $76K Medicaid fraud

Two therapists have been arrested after authorities say they defrauded Florida’s Medicaid program out of more than $76,000. Paola Maria Ewing, also known as Paola Granados, and Ingrid Garcia are accused of swindling the program to pay for psycho-social rehabilitation … Read More

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Lawmakers discuss dental workforce at Congressional hearing

Dentistry and its workforce shortage were highlighted April 19 during a hearing held by the Energy and Commerce Committee’s Health Subcommittee. The hearing, “Examining Existing Federal Health Programs to Build a Stronger Health Workforce and Improve Primary Care,” included the … Read More

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Why 78% of Florida dentists are not Medicaid providers

Only 21.9 percent of dentists in Florida are enrolled as Medicaid providers, according to a survey of dentists conducted by the state Department of Health. Inadequate reimbursement is the main reason most Florida dentists are not Medicaid providers, according to … Read More

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NJ Doc Admits $1.3M Healthcare Fraud Targeting Amtrak

A New Jersey doctor has admitted participating in a health care fraud scheme to defraud Amtrak. U.S. Attorney Philip Sellinger’s office says on Wednesday, 50-year-old Muhammad Mirza of Cedar Grove, Essex County, pleaded guilty to one count of conspiracy to … Read More

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Hartford woman to pay $140K for Medicaid fraud

HARTFORD, Conn. (WTNH) — A Hartford woman must pay $140,000 in restitution for defrauding Medicaid, according to an announcement Thursday from the Connecticut Division of Criminal Justice. Alicia M. Thompkins, 42, has pleaded guilty to one count of health insurance … Read More

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Montco Company Must Pay $5.3M For Healthcare Fraud: Feds

PLYMOUTH MEETING, PA — A Plymouth Meeting-based medical supply filed some $5.3 million in false claims to federal programs for respiratory devices that patients did not require, according to the U.S. Attorney’s Office. AdaptHealth, formerly known as QMES and headquartered … Read More

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