In 2018, when Mike DeWine was Ohio’s attorney general, he began investigating an obscure corner of the health care industry. He believed that insurers were inflating prescription drug prices through management companies that operated as middlemen in the drug supply … Read More
SACRAMENTO, Calif. (AP) — When Hunter Morgan bought an optometry practice in Southern California three years ago, one of the first things he did was start seeing patients who use Medicaid, the government-funded health insurance program for low-income people. The … Read More
MOUNT PLEASANT, S.C. (WCBD) – A Mount Pleasant man has been sentenced to nine years in federal prison for his role in what authorities called one of the largest Medicare fraud schemes in history. The U.S. Attorney’s Office for the … Read More
ARLINGTON — The Attorney General’s Office announced that Dr. Catherine A. Cech, 64, of Arlington, was arraigned Monday on one felony count of prescription fraud. The investigation was initiated when investigators received information alleging that Cech, a licensed dentist with … Read More
WASHINGTON (AP) — As Salvatore LoGrande fought cancer and all the pain that came with it, his daughters promised to keep him in the white, pitched roof house he worked so hard to buy all those decades ago. So, Sandy … Read More
Benevis, a leading dental healthcare and orthodontics delivery organization committed to providing quality care to underserved communities, announces the release of its report, “The Impact of Neglected Adolescent Dental Care on Adult Health.” In support of World Oral Health Day … Read More
Lawrence Duffy, DMD, a dentist in Florida, agreed to voluntarily relinquish his dental license following using general anesthesia without a permit. In 2019, Dr. Duffy failed to record the route of administration, dosage, time and sequence of a general anesthetic … Read More
A Democratic legislator in South Dakota has raised concerns about Republican Governor Kristi Noem’s recent Texas trip for dental treatment, coupled with her participation in a video endorsing the dental practice. State Senator Reynold Nesiba has called for an inquiry … Read More
A licensed nurse practitioner in New Jersey, Jean Wilson, pleaded guilty to conspiracy to commit health care fraud and wire fraud. According to court documents, Wilson owned two purported telemedicine companies, Advantage Choice Care (ACC) and Tele Medcare LLC, as … Read More
A man from St. Louis, Missouri on Thursday admitted using his brother’s identity to fraudulently obtain about $31,700 from the Missouri Medicaid Program. Christopher J. Spencer, 46, waived indictment by a grand jury and pleaded guilty to five counts of … Read More
Arkansas Attorney General Tim Griffin announced the state will receive more than $191,000 as part of a $25 million national settlement with respiratory device supplier Lincare Holdings Inc. over alleged Medicaid fraud. Publicly traded Lincare, based in Clearwater, Florida, was … Read More
BUFFALO, N.Y. (WKBW) — The 7 News I-Team has received the letter sent to the New York State Office of Professional Development, by State Senator Patrick Gallivan, calling for a full investigation of Dr. Richard Charlap. Charlap was the focus … Read More
The Clinical Laboratory Improvement Act (CLIA) allows CMS to regulate all laboratory testing (except research) done in U.S. physician offices and other health care facilities. As an ongoing requirement of that law, CMS collects laboratory data from physicians. In November, … Read More
TOPEKA, Kan. (WIBW) – A bill currently in the Senate could make it easier for dental professionals to practice across state lines. HB 2453, otherwise known as the Dentist and Dental Hygienists Licensure Compact, would establish an interstate compact that … Read More
(ABC 6 News) – People across the Austin-area are learning some shocking news about a former dentist in town. Over the last two weeks, former patients of Schmitt Family Dentistry learned that, back in June of 2023, practitioner Travis Schmitt … Read More
AUSTIN, Texas — The Texas Health and Human Services Commission said Monday a potential disclosure of health and sensitive personal information could’ve impacted nearly 3,400 people living in or near several East Texas communities. According to the HHSC, the state … Read More
Minnesota legislators are considering a bill that would allow the state to join an interstate compact to alleviate workforce shortages. The Dentist and Dental Hygienist Compact is a legal agreement between states that aims to create reciprocity and reduce the … Read More
The U.S. House of Representatives approved the Action for Dental Health Act of 2023, which reauthorizes the workforce and access-promoting program through 2028. The bill, HR 3843, passed March 7 with a vote of 391-32. The Action for Dental Health … Read More
A Maryland-based firm, Aledade Inc., renowned for managing the largest independent network of primary care medical practices in the United States, is facing serious allegations of Medicare fraud. The accusations stem from a whistleblower lawsuit claiming that the company manipulated … Read More
PHOENIX — An Arizona orthodontist and his wife were recently indicted for their roles in attempting to embezzle $73,000 from a dental practice. Dr. Andrew L. Kassman and Laurie Ann Kassman, of Tucson, were indicted for conspiracy to commit wire … Read More
After claiming she was a victim of dental insurance fraud, a patient says her insurance company is making her pay for it. In recent headlines, TikToker Alberta (@alberta.nyc) says she was a victim of dental insurance fraud by her own … Read More
Lawmakers in Minnesota have introduced legislation to create a $20 million grant appropriation designated for dental hygiene and dental assisting programs. Senate File 4155 and House File 4375 will allow institutions to improve programs, train more hygienists and assistants, and … Read More
Massachusetts Attorney General Andrea Campbell is announcing that a Barnstable County grand jury has returned indictments against a Falmouth dentist and dental practice. Dr. Marcus Swann and his practice, Direct Pay Dental, are each charged with Medicaid False Claims and … Read More
The phones at many dental offices across North Carolina have been ringing repeatedly in recent months with requests for oral health care from newly enrolled Medicaid recipients. The state’s expansion of Medicaid benefits to nearly 600,000 low-income residents on Dec. … Read More
A Madison County doctor pleaded guilty to a federal healthcare fraud charge for falsely documenting services provided to nursing home patients in order to collect reimbursement from Medicare. According to court documents, Dr. Phillip J. Greene, 59, of Edwardsville, was … Read More
MT. PLEASANT, Sanpete County — The three top administrators involved with a substance abuse treatment center in Utah are accused of defrauding Medicaid out of nearly $13 million. Lillian Kaye Simiskey, 40, was charged Friday in 3rd District Court with … Read More
BOSTON, March 5, 2024 /PRNewswire/ — Overjet, the world-leader in dental AI, today announced a $53.2 million Series C round: the largest investment ever in artificial intelligence for dentistry. The historic round was led by March Capital, with participation from … Read More
The owner of a dental practice in North Haven received a suspended prison sentence Monday in a Medicaid fraud case, state officials announced. Christian O’Connor, 54, appeared in Superior Court in Hartford before Judge David Gold and was sentenced to … Read More
McALLEN, Texas — A federal jury has convicted a Texas doctor and a clinic employee on charges of healthcare fraud, conspiracy, and receiving illegal kickbacks. The verdict came after the pair ordered unnecessary lab tests and prescriptions, according to U.S. … Read More
North Carolina’s recent Medicaid expansion has significantly increased access to dental care for nearly 600,000 low-income residents, leading to an overwhelming demand for services in dental practices across the state. However, the surge in patient volume highlights a critical issue: … Read More
Starting today, Medicaid patients in Texas have 12 months of postpartum coverage. Texas lawmakers passed a postpartum extension, bringing coverage from two months to twelve months, at the end of the last legislative session. The state submitted the extension to … Read More
The health-care industry led the way as a record 543 False Claims Act settlements and judgments were reported in fiscal year 2023. More than $1.8 billion of the $2.68 billion total involved matters related to managed care providers, hospitals, pharmacies, … Read More
SmileCon will be the place to be when it rolls into the Big Easy later this year with engaging learning experiences, the latest dental technology and lots of fun. The meeting will take place Oct. 17-19 at the New Orleans … Read More
The Nebraska Department of Health and Human Services (DHHS) is under scrutiny after a revealing audit by State Auditor Mike Foley uncovered significant suspected fraud and financial abuse within its Medicaid-funded personal assistance services program. Instances of questionable billings have … Read More
In a significant blow to healthcare fraud, Nathanael Thompson, 45, owner of four Ohio pharmacies, and Sanam Ahmad, 34, the operations manager, were convicted on February 27 for masterminding a scheme that defrauded Medicaid of $2.3 million. The duo exploited … Read More
A Feb. 21 cyber attack affecting Change Healthcare, one of the largest health care technology companies in the United States, is impacting dental, medical and pharmaceutical organizations. The cyber event is preventing some pharmacies from processing prescriptions and some dentists … Read More
A Filipino American doctor from Queens, New York is facing charges for allegedly pocketing cash kickbacks and unnecessary Medicare claims amounting to $20.7 million. According to the federal grand jury in New Jersey, Dr. Alexander Baldonado, 68, engaged in a … Read More
An Atlanta woman found herself in hot water after attempting to use a CPN (credit privacy number) to finance an expensive dental procedure. What began as a routine visit to the dentist quickly escalated into a legal ordeal that ended … Read More
Appointment cancellations and financial distress have become a constant at Bethesda Pediatrics, a nonprofit medical clinic in East Texas that is heavily dependent on Medicaid, the health insurance program for the poor. On a recent Monday, the mother of a … Read More
A woman in Pennsylvania is accused of making nearly $270,000 stealing dental products like teeth whitening kits from her employer and selling them on an online shopping site, according to multiple news reports. Kathy Lucarino, 50, who worked at Bright … Read More
