WASHINGTON, D.C. – Congressman Steven Horsford (D-NV-04) and Congresswoman Robin Kelly (D-IL-02) have introduced the Medicare Dental Coverage Act, which would expand Medicare Part B to cover most dental services, including preventive dental care, routine dental treatments, and dentures. “Dental … Read More
People don’t become dentists to spend their time navigating the insurance claims process. They do it to take care of people. Unfortunately, the reality of dealing with insurance carriers and their varying claims policies can create headaches not only for … Read More
A Long Island lab is being asked to reimburse New Jersey’s Medicaid program almost all of the $25 million it was paid for drug testing work over nearly four years after a state watchdog agency found it vastly overcharged for … Read More
Two Texas companies have agreed to pay a combined $15.3 million to resolve allegations of kickbacks and other misconduct resulting in the submission of false claims to federal health US DOJcare programs. According to the settlement, Alliance Family of Companies … Read More
A Texas woman was sentenced Monday to 50 months in prison for defrauding the Virginia Medicaid program out of $2.8 million. “For over six years, the defendant stole over $2.8 million from the Virginia Medicaid program, using those funds to … Read More
NOTICE OF STAKEHOLDER MEETING August 11, 2021 The Board requests stakeholder input on the following topic related to possible rulemaking proceedings: Teledentistry, specifically implementation of Board rules in accordance with House Bill 2056 that was passed by the 87th Texas Legislature. … Read More
The past 18 months have tested everyone’s mettle. The biennial ADA Dentist Health and Well-Being Conference will feature sessions and speakers focused on building such resilience as well as sharing knowledge and solutions about the challenges dental professionals face in … Read More
HHS’ watchdog agency, the Office of Inspector General, recovered $3.1 billion in false and fraudulent claims in 2020, according to a July report. OIG won or negotiated more than $1.8 billion in judgments and settlements in 2020, which, combined with … Read More
FRANKFORT, Ky. (KT) – Kentucky will share in a $75 million multi-state settlement with Bristol-Myers Squibb Company, in a federal lawsuit that alleged the company overcharged state Medicaid programs for drugs. Under the settlement, the pharmaceutical manufacturer has agreed to … Read More
SACRAMENTO, Calif. — Akop Atoyan, 48, of Glendale, pleaded guilty today to one count of conspiracy to commit health care fraud and one count of conspiracy to pay and receive health care kickbacks, Acting U.S. Attorney Phillip A. Talbert announced. … Read More
Home health providers in the U.S. have paid at least $422.6 million to settle False Claims Act (FCA) allegations since 2012, according to a recently unveiled database from Nashville, Tennessee-based legal firm Bass, Berry & Sims. The total number of … Read More
The Dallas-area owners and operators of two durable medical equipment companies have been convicted on insurance fraud and money laundering charges, the U.S. Attorney’s Office for the Northern District of Texas reported. Federal officials said Leah Hagen, 49, and Michael … Read More
(RALEIGH) Attorney General Josh Stein reached two separate civil settlements with ProHealth Dental Inc. and Henry W. Davis, Jr., D.D.S. as part of Operation Root Canal, an ongoing effort to find and stop health care fraud among dental providers. The … Read More
BOSTON – A Lexington doctor and his wife, who works as his office manager, were charged today in a superseding indictment in connection with an international money laundering scheme involving importing illegal, misbranded drugs. Rahim Shafa, 64, was indicted on … Read More
NEWARK, N.J. – Two medical device manufacturers have agreed to pay $38.75 million to resolve allegations that they violated the False Claims Act for billing the Medicare program for defective rapid point-of-care testing devices, Acting U.S. Attorney Rachael A. Honig … Read More
Akron General Health System (AGHS), a hospital system in Ohio owned by the Cleveland Clinic Foundation, reached a civil settlement and agreed to pay $21 million for allegedly committing healthcare fraud by violating the False Claims Act. AGHS is accused … Read More
The U.S. Justice Dept. announced that Avanos Medical (NYSE:AVNS) agreed to pay more than $22 million to resolve a criminal charge related to fraudulent misbranding. Charges levied against the Alpharetta, Ga.-based medical device company relate to alleged fraudulent misbranding of … Read More
The former owner and operator of a Missouri assisted living community has paid a $150,000 settlement in a Medicaid fraud case for falsely billing services that were not provided. Brook Fears was charged with filing 148 false claims to MO … Read More
