Wednesday, August 9th, 2023 | 12:00 PM – 1:00 PM CT With nearly half of Americans delaying oral care due to economic constraints and an estimated 15 million set to lose Medicaid benefits, dental practices nationwide will likely face an … Read More
SIOUX CITY — There are not enough hands to treat all of the dental pain in Siouxland, according to Dr. Ashley Huber. Siouxland Community Health Center’s dental clinic, which Huber directs, prioritizes pediatric patients and has a limited number of … Read More
The Supreme Court recently handed down three rulings regarding affirmative action at colleges and universities, religious accommodations for employees and student loan forgiveness. Here is how the three rulings could impact the dental industry: Affirmative action The Supreme Court ruled … Read More
Two executives of an Overland Park-based company have been charged with conspiring to commit $1.9 billion in health care fraud, marking what officials called one of the largest such schemes prosecuted in Justice Department history. Johnson County residents Brett Blackman, … Read More
A federal court June 30 enjoined the Centers for Medicare & Medicaid Services from implementing and enforcing a bulletin addressing Medicaid funding and the redistribution of Medicaid payments, siding with the state of Texas in the ongoing legal challenge. Texas … Read More
The Department of Justice (DOJ) recently released dozens of federal and local criminal charges that address a mass of healthcare fraud schemes. The department has named 78 defendants that allegedly took advantage of at-risk individuals, using patient access to the … Read More
Last week in Trenton federal court, Alexander Schleider of Lakewood, admitted his role in a durable medical equipment kickback scheme as well as wire fraud in connection with pandemic relief money. Schleider, 57, owned and operated durable medical equipment (DME) … Read More
An Ocean County man admitted his role in a durable medical equipment kickback scheme, U.S. Attorney Philip R. Sellinger announced. According to officials, Alexander Schleider, 57, of Lakewood, pleaded guilty in Trenton federal court to an information charging him with … Read More
The U.S. Justice Department on Wednesday announced federal and local criminal charges targeting 78 defendants across 16 states as part of a law enforcement action involving $2.5 billion in alleged health care fraud schemes targeting elderly and disabled people, HIV … Read More
A West Hartford woman has been arrested and charged with submitting false claims to the Connecticut Medicaid Health Insurance Program. Lorena Soto-Bunker, 48, of Seneca Road, West Hartford, was arrested Wednesday by Inspectors from the Medicaid Fraud Control Unit in … Read More
Two La Porte County healthcare workers are facing charges of Medicaid fraud by allegedly stealing controlled substances. The office of State Attorney General Todd Rokita has announced a total of eight cases of medical fraud statewide involving licensed healthcare professionals. … Read More
LAS VEGAS (KLAS) — A Las Vegas behavioral health company was ordered to pay $110,000 in restitution in a Medicaid fraud case, according to the Nevada Attorney General’s Office. Joy Behavioral Health and its owner, Edward Gamboa, were placed on … Read More
Two whistleblower physicians accused HCA Healthcare and TeamHealth, both for-profit companies, of defrauding government programs by overcharging for care. The lawsuit was filed under seal in June 2022. The documents were unsealed April 6 of this year when the federal … Read More
A North Carolina woman is accused of posing as a doctor, providing services to patients and defrauding an insurance company out of millions of dollars. Kris Williams-Falcon faces federal charges in the case. In April, federal agents seized two Charlotte … Read More
AUSTIN – Christian Agno Aquino, 42, of Humble, was arrested for his role in a $6.9 million Medicaid fraud and kickback scheme, alongside Rene Gaviola, 67, and Ifeanyi Ndubisi Ozoh, 51, of Houston, who were previously arrested. The defendants are … Read More
The New York attorney general is suing a large nursing home operator, alleging that its owners pocketed more than $83 million from Medicare and Medicaid that was intended for patient care while neglecting residents at their facilities across the state. … Read More
The Department of Justice (DOJ) announced Wednesday it has charged 78 people relating to their alleged involvement in defrauding care programs for elderly and disabled people of more than $2.5 billion. Among the charges filed against the accused are allegations … Read More
An Altoona woman is facing charges for racking up more than $40,000 in Medicaid payments when she was employed as a physician’s assistant, the Office of the Attorney General (OAG) reported. Jennifer Batrus, 50, of Altoona, is accused of using … Read More
A50-year-old Brownsville man is facing 10 years in federal prison after he continued to practice medicine despite having his license suspended in 2021, according to a news release from the U.S. Attorney’s Office Southern District of Texas. Fernando Mendez pleaded … Read More
Former NBA player Darius Miles pleaded guilty Monday to one count of conspiracy to commit healthcare and wire fraud for his role in a healthcare fraud scheme that targeted the league’s benefits program. Miles entered the guilty plea at a … Read More
The US Department of Justice (DOJ) announced on June 8, 2023 that Steven King, a compliance executive of pharmacy holding company A1C Holdings LLC, was convicted of defrauding Medicare out of more than $50 million in a scheme involving dispensing … Read More
FRANKFORT – On Friday, Attorney General Daniel Cameron announced that an investigation conducted by his Medicaid Fraud Unit led to the indictment of DeMarco Phillips, 32, of Georgetown, for defrauding the Kentucky Medical Assistance Program, also known as Medicaid. On … Read More
On June 14, 2023, Dentistry in General (DIG) hosted a powerful discussion moderated by Bob Dee, DDS, the founder of this “dentists only” website. Participants included Raymond Cohlmia, DDS, the executive director of the American Dental Association (ADA); Marko Vujicic, … Read More
Teledentistry company SmileDirectClub settled litigation with the office of Washington, D.C., Attorney General Brian Schwalb regarding patient nondisclosure agreements. The attorney general’s office filed a lawsuit against SmileDirectClub in December for allegedly misleading customers and suppressing negative information about its … Read More
The US Department of Justice (DOJ) announced on June 8, 2023 that Steven King, a compliance executive of pharmacy holding company A1C Holdings LLC, was convicted of defrauding Medicare out of more than $50 million in a scheme involving dispensing … Read More
You might think that federal watchdogs who fight Medicare fraud would also deploy their powers to protect patients, since the schemes they prosecute often involve billing for risky, unnecessary treatments. Very often, you’d be wrong. Just how often was tallied … Read More
A former chief medical officer at New London Hospital has pleaded guilty to health care fraud over his role in a scheme to bilk Medicare by prescribing unnecessary medical devices for beneficiaries, with whom in most cases he had not … Read More
A pair of Jacksonville pharmacies and their owner agreed to pay at least $7.4 million to settle lawsuits accusing them of defrauding Medicare by adding anti-psychosis medication to topical pain cream and wrongly waiving patient copays. Smart Pharmacy Inc., SP2 … Read More
A Kernersville man has pled guilty after he was accused in a nearly $5 million scheme to defraud the state’s Medicaid program. According to Attorney General Josh Stein, the man owned and ran a clinic which provided outpatient services as … Read More
The stories Robert G. McNeill, D.D.S., M.D., heard from Ukrainian refugees during a recent mission trip to Poland will stay with him for many years to come. “Hearing stories from patients about sleeping in bomb shelters for months and fleeing … Read More
HOUSTON, Texas — Three individuals have been charged in a $6 million Medicaid fraud and kickback scheme involving a local dental clinic, according to U.S. Attorney Alamdar S. Hamdani. Christian Agno Aquino, 42, of Humble, was taken into custody today … Read More
MADISON, Wis. (WMTV) – Over $5.1 million will be awarded to 14 non-profit dental clinics across Wisconsin to increase access to dental care. The Wisconsin Department of Health Services will provide grants between $59,000 and $150,000 per clinic over the … Read More
SPOKANE, Wash. — A grand jury has returned an indictment, charging Dr. David Antonio Becerril with 16 counts of conspiracy, fraud and false statements for his alleged role in a telemarketing healthcare fraud scheme. Becerril, who lives in Coeur d’Alene, … Read More
FAYETTEVILLE, N.C. (WTVD) — A Fayetteville cardiologist will pay more than $5 million to settle a case about alleged false Medicare and Medicaid claims, the U.S. Department of Justice said Tuesday afternoon. Dr. Hari Saini and his practice, Carolina Heart … Read More
The National Health Care Anti-Fraud Association estimates that tens of billions of dollars per year are lost to healthcare fraud, including Medicare fraud. Many of these losses can be attributed to the fact that Medicare is required to pay medical … Read More
(The Center Square) – A home health company owner from Richmond, Texas, was sentenced to five years in prison and three years of supervised release for conspiracy to commit health care fraud. Akintunde Oyewale, 47, “operated Grace Healthcare Services LLC … Read More
The OIG’s Benefits Program Integrity unit has completed 6,849 investigations involving some form of benefit recipient overpayment or fraud allegations through April of fiscal year 2023. These efforts led to $15,582,463 in recoveries, with 20 cases referred for prosecution and … Read More
AUSTIN – Efforts by the Medicaid Fraud Control Unit (“MFCU”) of the Office of the Attorney General of Texas (“OAG”) have led to a home health company owner being sentenced to prison for 57 months. Akintunde Oyewale, a home health … Read More
The Supreme Court on Thursday ruled 7-2 to protect the right of Medicaid nursing home residents to seek relief in federal court when state officials do not meet a certain quality of care — a ruling policy watchers are hailing … Read More
AUSTIN, Texas (AP) — The FBI on Thursday arrested a businessman at the center of the scandal that led to Texas Attorney General Ken Paxton’s historic impeachment, a move that came amid new questions about the men’s dealings raised by financial … Read More
