Hospitals and insurers are racing to find new artificial intelligence tools to give them an edge in billing and processing their part of the $4 trillion in medical expenses Americans accrue each year. As one of the largest parts of … Read More
Dentistry could lead the use of artificial intelligence in healthcare as the industry continues to innovate with the technology, according to VideaHealth Founder and CEO Florian Hillen. Several industry partnerships and new product launches took place this year as dental … Read More
A California dentist has been sentenced to three years in prison for a scheme to defraud the National Basketball Association Players’ Health and Welfare Benefit Plan, the United States Attorney for the Southern District of New York announced last week. … Read More
Erica Olenski, a single mother of three in McKinney, Texas, juggles the responsibilities of parenthood and a full-time job, in addition to the demands of her 5-year-old son’s brain cancer. August was diagnosed in May 2019 and was declared cancer-free … Read More
Former employees of the now-defunct SmileDirectClub are dealing with the aftermath of losing their jobs due to the company’s closure. SmileDirectClub announced Dec. 8 it would be shutting down its global operations immediately after efforts to recapitalize the business failed. … Read More
Since April, states across the country have been kicking people off Medicaid, and no state has kicked off more people than Texas. We’re at 1.7 million. And counting. Some of this is right-sizing. Medicaid is health insurance for low-income households, … Read More
An Archer City man is accused of conspiring in a $60 million fraud and kickback scheme to cheat Medicare with U.S. and offshore co-conspirators. Robert Leon Smith III has been charged for his alleged role in a health care fraud, … Read More
A Minnesota woman is suing her dentist, claiming he left her disfigured and in distress after he performed too many procedures in just one visit and falsified how much anesthesia he gave her. Kathleen Wilson alleges in her civil suit … Read More
An Illinois business owner is charged with defrauding Medicare out of $31 million. The 11 News Investigates team has reported since May about the 280 Maryland residents who said their Medicare accounts were charged for COVID-19 test kits they never … Read More
DOVER, Del. — Delaware’s largest hospital system will pay more than $47 million to settle whistleblower allegations by its former compliance officer that it provided kickbacks to outside doctors in return for patient referrals, resulting in fraudulent Medicaid billing. The … Read More
On a typical day in Loxahatchee, Florida, Erin Foley and Ted Albin, a pair of 46-year-old twins, might have been seen overseeing their business, Grapevine Professional Services Inc. However, the seemingly unassuming siblings have been charged with a staggering $25 … Read More
A Miami-area nurse practitioner on Thursday was sentenced to 20 years in prison for illegally signing thousands of orders for medical equipment and genetic tests while submitting $192 million in false claims to the taxpayer-funded Medicare program. Elizabeth Hernandez, 45, … Read More
Several dental offices and companies have offered alternative treatment options to patients left without care after SmileDirectClub’s abrupt shutdown. SmileDirectClub announced Dec. 8 it would be shutting down its global operations immediately after efforts to recapitalize the business failed. The … Read More
Editor’s note: the story has been updated to correct that HHSC does not plan to increase staff hours at its 2-1-1 information center. HHSC also now says that SNAP benefits are being processed in 32 days as of Dec. 15. … Read More
WASHINGTON — The Biden administration is raising concerns about nearly 1 million Texas children dropped from the Medicaid program following the phase out of pandemic-era coverage. Texas already led all states in the number of uninsured residents, even before the … Read More
A Travis County district judge has ordered Attorney General Ken Paxton and three top aides to sit for depositions in the 3-year-old whistleblower lawsuit against him. At a hearing Wednesday in Austin, Judge Jan Soifer granted the whistleblowers’ motion to … Read More
The Corporate Transparency Act, which will require businesses to report certain ownership information to the U.S. government, will go into effect Jan. 1. Here are seven things for dentists to know: 1. The Corporate Transparency Act was enacted in 2021 … Read More
Andrew R. Golden, age 55, of New Canaan, was arrested Monday, Dec. 18, by inspectors from the Medicaid Fraud Control Unit in the Office of the Chief State’s Attorney. He was charged with larceny by defrauding a public community and … Read More
Indianapolis-based Community Health Network has agreed to a $345 million settlement with the Department of Justice to settle allegations of illegal physician referrals and related False Claims Act violations. Announced Tuesday, the deal stems from a whistleblower complaint filed in … Read More
As individual states continue to disenroll millions of people from Medicaid and the Children’s Health Insurance Program (CHIP) now that pandemic-era suspension of participation guidelines has come to an end, new data from the U.S. Department of Health and Human … Read More
Niranjan Mittal, a cardiologist based out of Brooklyn, New York, has been arrested due to his alleged participation in a fraud scheme that involved fabricating patient records, making illegal referrals and billing the U.S. government for medically unnecessary interventional cardiology … Read More
Several dental offices and companies have offered alternative treatment options to patients left without care after SmileDirectClub’s abrupt shutdown. SmileDirectClub announced Dec. 8 it would be shutting down its global operations immediately after efforts to recapitalize the business failed. The … Read More
The advancement and integration of AI into the dental industry is something that many throughout the space are keeping tabs on. The leaders featured in this article are all speaking at Becker’s 2024 dental conferences. This includes our Spring Future … Read More
AUSTIN (KXAN) — Texas kicked off more than a million people from Medicaid this year without checking if they were still eligible for coverage, according to an analysis released the same day the Texas Health and Human Services Commission said … Read More
During the COVID-19 pandemic, the federal government put protections in place to make sure people could access health care, like testing, treatment, and doctors’ visits. These protections under the Public Health Emergency (PHE) started in March 2020. The PHE also … Read More
The American Association of Orthodontists is offering guidance to SmileDirectClub patients after the teledentistry company announced it had shut down and filed for bankruptcy. Here are the steps the organization is advising for patients of SmileDirectClub and other mail-order orthodontics … Read More
Governor Greg Abbott has appointed Brady Morehead, D.D.S. and Sarah Lamb and reappointed Lorie Jones and Bryan Henderson, II, D.D.S. to the State Board of Dental Examiners for terms set to expire on February 1, 2029. The Board administers programs … Read More
EL PASO, Texas (KFOX14/CBS4) — Texas Tech’s Dental Oral Health Clinic will be offering free screenings and cleanings for Borderplex residents next Monday and Wednesday. Hunt School of Dental Medicine second-year students will provide faculty-supervised care from 10 a.m. to … Read More
Audu Ozigi was found guilty of one count of conspiracy to commit healthcare fraud and four counts of healthcare fraud for falsifying patient files and fraudulently billing Medicare and Medicaid for home health services. Ozigi was sentenced by a Houston … Read More
SmileDirectClub will wind down its business after its efforts to recapitalize in bankruptcy failed. The Nashville, Tenn.-based online teeth-straightening company said Friday efforts to identify investors or partners needed to recapitalize the business had failed. “We were unable to find … Read More
A pair of Houston men have been arrested for allegedly running an unlicensed dentistry practice for 20 years, after an investigation into an alleged sexual assault by one of the men led officers to scrutinize the pair’s licensure. Alberto Alanis … Read More
ST PAUL, Minn. — The Minnesota Attorney General’s Office charged three people with racketeering, theft by swindle and a host of other crimes in what they describe as the largest-ever Medicaid fraud prosecution by the Minnesota Medicaid Fraud Control Unit … Read More
In a significant blow to healthcare fraud, Tamara Yvonne Motley, the owner of two medical equipment companies, has been sentenced to 15 years in prison. The 55-year-old, also known as Tamara Ogembe, was found guilty for leading a scheme that … Read More
AUSTIN (KXAN) — Days after a local congressman asked the Centers for Medicare and Medicaid Services to investigate months-long delays in Texas, potentially impacting millions of low-income and vulnerable people in the state, the agency is responding. CMS said in … Read More
About 1.4 million Texans have lost Medicaid coverage so far this year as the state continues to check eligibility. Since federal pandemic-era protections ended in early 2023, more than 11.7 million people nationally have lost Medicaid coverage, according to data … Read More
PHOENIX – The head of Arizona’s Medicaid agency is opening up about the AHCCCS fraud scandal plaguing our state. It’s been nearly a year since Carmen Heredia, cabinet executive officer, took over as the head of the agency, and she … Read More
ROGERS, Ark — Court documents confirm that the judge originally presiding over Dr. Brian Hyatt’s criminal trial where he’s accused of large-scale Medicaid fraud has recused herself. According to online court records, Judge Karen Whatley ordered the case to be … Read More
TYLER, Texas — Five defendants have been convicted of participating in a healthcare kickback conspiracy involving a Central Texas hospital, according to the United States Attorney’s Office, Eastern District of Texas, including the former CEO of the hospital. According to … Read More
Planned Parenthood no longer provides abortions in Texas, Louisiana and the other 10 states that have essentially banned abortion since the Supreme Court handed down its Dobbs v. Jackson decision in June 2022. But the nonprofit is still providing other … Read More
Dive Brief: The HHS’ Office of the Inspector General is expected to recover more than $3.44 billion in fiscal year 2023 as a result of investigations into fraud and misspent funds in Medicare, Medicaid and other government health programs, according … Read More
