Almost 900,000 Texans have lost Medicaid since April and a backlog of applications has piled up, overwhelming the system and setting off a ripple effect that advocates worry is delaying families’ access to SNAP food benefits. During the pandemic, federal … Read More
The ADA is expressing support for the Lower Costs, More Transparency Act, a health care bill aimed at addressing workforce investment and increasing price transparency throughout the health care system. Specifically, the ADA supports efforts to extend the Community Health … Read More
EL PASO – The Texas Health and Human Services Commission Community Partner Program, in partnership with El Pasoans Fighting Hunger Food Bank, is hosting a community event on Tuesday, Oct. 3, to help Texans with their Medicaid renewals. HHSC staff … Read More
Massachusetts police arrested a man who they allege was running an illegal dentist’s office in the back of a convenience store in a room that was rented to him. Officials say that Munoz offered”examinations, tooth extractions, anesthetics, and cleanings.” Munoz … Read More
TAMPA, Fla. — In a heartfelt conversation, Dr. Marnie C. Bauer D.M.D., the founder of “She Smiles,” shares her personal journey and the mission that drives her — to give deserving women a reason to smile. It’s that mission that … Read More
In a recent development, David Santana, the owner of Conclave Media (Conclave) and Nationwide Health Advocates (Nationwide), has pleaded guilty to a $44 million Medicare fraud scheme involving medically unnecessary durable medical equipment (DME), including orthotics such as back and … Read More
A Houston physician and two pharmacists have been indicted for an alleged $170 million healthcare fraud and money laundering scheme. The 13-count indictment returned by a Houston federal grand jury on Sep. 7 was unsealed Wednesday, according to a release … Read More
McALLEN, Texas — A 52-year-old man from San Antonio, Texas, has been sentenced for his involvement in a fraudulent scheme that submitted over $150 million in false claims to Medicare for hospice and other healthcare services. Jesus Virlar-Cadena, who pleaded … Read More
A federal jury has convicted a Florida nurse practitioner for her role in a conspiracy to defraud Medicare by submitting fraudulent claims for unnecessary tests and services in excess of $200 million. She was convicted of multiple felonies and could … Read More
When asked in a recent survey if they’d like to be able to view their patients’ medical records, all dental providers—fully 100%—indicated they would, with a majority of their medical peers (75%) saying they’d like access to their patients’ dental … Read More
Federal and state Medicaid programs mandate dental coverage for children but not adults. However, rising awareness of the economic and health costs of poor dental health and federal pandemic money has spurred six US states to expand Medicaid coverage to … Read More
Dental check-ups are a critical part of your health. Estimates show around 27% of adults don’t have dental insurance coverage. Even with insurance, cost may get in the way. That’s where a local dental team comes in. Marine veteran Jeff … Read More
EDINBURG, Texas — The Texas Mission of Mercy Rio Grande Valley (TMOM-RGV) recently held a Free Dental Clinic at the Edinburg Bert Ogden Arena on September 15 and 16. The event was a big hit, with many volunteers and community … Read More
Singer Jewel has taken to TikTok to call out a wildly popular influencer, Texas dentist Dr. Kenny Smiles, for shocking social media videos of his interactions with female patients. Dr. Kenny Smiles, whose real name is Kenneth Wilstead, has made … Read More
Delta Dental of California was recently affected by a data breach on the MOVEit file transfer software. Progress, which provides the MOVEit software, disclosed the vulnerability on its software May 31. The attack on MOVEit affected an estimated 2,500 organizations … Read More
PHOENIX (AP) — A huge addiction recovery community in Tucson, Arizona, shuttered suddenly this week, leaving more than 200 people homeless as Arizona investigates widespread Medicaid fraud largely affecting Native Americans, authorities said Thursday. Ocotillo Apartments & Hotel, a rundown … Read More
ResCare has agreed to pay West Virginia $576,000 in a settlement over accusations of Medicaid fraud. The company is accused of filing nearly $280,000 in fraudulent Medicaid claims with $296,000 owed for operating expenses for the West Virginia Attorney General’s … Read More
A Palm Springs-based pharmacy will pay the state and federal governments almost $1 million for allegedly defrauding California’s Medicaid program. LASR Enterprises must repay $925,000 after allegedly seeking and receiving reimbursement from Medi-Cal, the state’s Medicaid program, Attorney General Rob … Read More
TALLAHASSEE, Fla. (WPEC) — A care provider in Florida was arrested after allegedly committing Medicaid fraud, falsifying hundreds of hours worked totaling over $13,000, officials said. The suspect, Caridad Abreu Gonzalez, provided personal-support services for disabled adults under the Medicaid … Read More
AUSTIN (KXAN) — Whistleblowers reached out directly to Texas Gov. Greg Abbott this week, escalating their continued concerns about denials and delays in getting Texans critical medical support and food assistance. The anonymous Texas Health and Human Services employees sent … Read More
HARLINGEN — Texas State Technical College’s Dental Hygiene program is among the top 15 dental hygiene programs for 2023 in Texas according to NursingProcess.org, and among the best colleges with dental hygiene degrees for 2024 in Texas as compiled by … Read More
A Hanford man pleaded guilty Monday to submitting more than $1 million in fraudulent claims for sleep studies to Medicare. Travis Gober, 44, owned the VIP Sleep Center, a sleep disorder clinic that operated out of Fresno and Visalia, according … Read More
A former Moberly doctor was sentenced to 22 months in prison for Medicare and Medicaid fraud. Justin LaMonda, 41, will also have to repay $537,332. He was sentenced on Thursday after pleading guilty in March to using his father’s name … Read More
NASHVILLE – A federal jury in Nashville has convicted Doctor Benjamin T. Toh, 68, of Chicago, Illinois, for his role in a more than $9.5 million health care fraud conspiracy, announced United States Attorney Henry C. Leventis for the Middle … Read More
Seven payers, including UnitedHealthcare, Molina Healthcare and Centene subsidiary SuperiorHealth Plan, were awarded contracts to manage Texas’ STAR +PLUS program, which provides Medicaid to adults with disabilities or are 65 years of age and older. According to the Texas Department … Read More
TALLAHASSEE, Fla.–(BUSINESS WIRE)–LIBERTY Dental Plan of Florida, Inc. (LIBERTY), a dental benefits administrator serving members throughout the areas impacted by Hurricane Idalia, today announced it is donating $10,000 for Hurricane Idalia relief efforts to Florida Disaster Fund, which supports response … Read More
Dental schools are an integral — if not obvious — factor in filling the shortage of dentists in the United States. Several recently opened dental schools have cited the insufficient supply of dentists as a key reason why more dental … Read More
HARTFORD — A North Haven dentist accused of bilking the Medicaid assistance program for the poor of more than $200,000 by billing for dental work that was not done spurned a plea bargain offer Tuesday that would not have required … Read More
DentaQuest Applauds Reintroduction of Bipartisan Bill to Expand Access to Affordable Dental Coverage PR Newswire Statement from DentaQuest President Steve Pollock on Sen. Hassan’s Bill to Uncouple Medical and Dental Insurance Purchases via the Federal Health Insurance Marketplace BOSTON , … Read More
HOUSTON – A former Houston-area dentist has been found guilty of injury to a child by omission in connection to the irreversible brain damage to Neveah Hall. According to court documents, Bethaniel Jefferson was found guilty on Wednesday. The case … Read More
School is back in session. It’s the perfect time for a fresh start with a healthy, bright smile. Unfortunately, that is not the case for some. According to the Centers for Disease Control and Prevention (CDC), tooth decay, also known … Read More
HOUSTON: The Texas Health and Human Services Commission has selected UnitedHealthcare Community Plan of Texas as one of the seven managed care organizations to administer the Medicaid managed care program STAR+PLUS. UnitedHealthcare will serve members in eight service areas: Bexar, … Read More
The Pennsylvania Attorney General is suing a Langhorne-based dental clinic alleging predatory lending that targeted elderly patients and swindled them out of more than $500,000. The lawsuit alleges Infinity Dental Management knowingly used Medicare as a prop in the scheme … Read More
Dentist. Leader. Mother. Wife. Teacher. Ironwoman. Author. Olympic competitor. Cancer survivor. The titles Linda Edgar, D.D.S., holds seem endless. In the season of life where many are winding down, Dr. Edgar is just getting started in many ways. Or at … Read More
Bento is stepping in to fill an forthcoming gap once Massachusetts implements its medical loss ratio for dental insurers. Bento offers self-funded insurance coverage options to reduce inefficiencies and unnecessary costs. Massachusetts established a first-of-its-kind law last year that requires … Read More
BOSTON–(BUSINESS WIRE)–An estimated 68.5 million adults in the United States do not have dental insurance, according to new data released today by CareQuest Institute for Oral Health®. This data, which comes from the third annual State of Oral Health Equity … Read More
A federal jury in Nashville has convicted Doctor Benjamin T. Toh, 68, of Chicago, Illinois, for his role in a more than $9.5 million health care fraud conspiracy, announced United States Attorney Henry C. Leventis for the Middle District of … Read More
Sinn Féin spokesperson on Health David Cullinane TD has called on the Government to work with the Dental Council and the Health Information and Quality Authority to tackle unregistered dentistry. The TD for Waterford said that unregistered practice is a … Read More
On August 28, the United States Attorney for the Eastern District of Washington announced that Lincare Holdings, Inc. agreed to pay $29 million to settle charges that it violated the False Claims Act (FCA) by overbilling Medicare and Medicare Advantage … Read More
The Alliance of the American Dental Association is hosting an advocacy breakfast in conjunction with SmileCon to share updates from the American Dental Political Action Committee on legislative progress. The event, which is sponsored by ADPAC, will take place from … Read More
