A lawsuit filed by a former Mountain Home resident against a Missouri company involved in Medicaid fraud will be allowed to proceed. On Thursday, the Arkansas Supreme Court vacated an earlier decision by the Arkansas Court of Appeals to uphold … Read More
PROVIDENCE, R.I. (WLNE) — A registered nurse and nurse practitioner, who defrauded health insurers and Medicare of close to $12 million was sentenced to federal prison. Court documents said Alexander Istomin, 57, pleaded guilty in October 2022 to 11 counts … Read More
MINOT, N.D (KMOT) – Medicaid pays dental providers 45% less than private insurance for both children and adult patients, according to the American Dental Association. Kris Pladson, Minot Dental Program Director with Dakota College at Bottineau, said it’s difficult for … Read More
Federal prosecutors received the green light to retry Philip Esformes on pending healthcare fraud charges after US Supreme Court Justice Clarence Thomas rejected an emergency appeal from the assisted living community and nursing home owner on Tuesday. Esformes had sought … Read More
LAFAYETTE, La. (KLFY) – The owner of an Acadiana hospice care facility has been convicted of defrauding Medicare of over $1.5 million, according to the U.S. Attorney’s Office. A federal jury returned a guilty verdict against Kristal Glover-Wing, 50, of … Read More
TULSA, Okla. — A Tulsa dentist was charged after not following the proper drug safety protocols during dental procedures, according to court documents filed last month. Dr. Lauren Whenry, 40, of Tulsa, is facing one count of distribution of a … Read More
HARRISBURG, Pa. – A Berks County-based home care agency and its owner have been charged in a nearly half million-dollar Medicaid fraud scheme. Pennsylvania Attorney General Michelle Henry announced Tuesday that based upon recommendations from the 47th Statewide Investigating Grand … Read More
Doctors are demanding an apology after researchers debunked “baseless” accusations of widespread Medicare fraud. Nicole Higgins from the Royal Australian College of General Practitioners seized on the study to claim vindication. “Late last year, the entire general practice profession was … Read More
To create the list, which was released Jan. 10, U.S. News & World Report selected the occupations with the largest number and percentage of projected openings from 2021 to 2031. Each career was ranked based on their scores in different … Read More
CHARLESTON, S.C. (WCIV) — A Charleston woman was booked into the Richland County detention center Friday on charges of Medicaid fraud and forgery after state officials say she initiated and received false claims from the South Carolina Department of Health … Read More
NEWTOWN, CT — A Newtown psychologist and advanced registered nurse has pleaded guilty to defrauding Medicaid by billing the government health insurance program for thousands of dollars. Jeannie Pasacreta, 66, of Abbey Lane, pleaded guilty Wednesday in Hartford Superior Court … Read More
The ADA commended Sen. Ben Cardin, D-Md., for introducing legislation that would make comprehensive dental care a mandatory component of Medicaid coverage for adults in every state. In a March 17 letter, ADA President George R. Shepley, D.D.S., and Executive … Read More
GARDEN GROVE, CA — An Orange County pharmacist will pay nearly $4 million to settle allegations that she fraudulently billed Medicare for medications that were never dispensed, according to authorites. Gisele Nguyen, of Huntington Beach, has agreed to pay $3.93 … Read More
TYLER, Texas (KETK) – Gov. Greg Abbott recently reappointed a Tyler woman to the state Dental Review Board. Amanda Richardson is a registered dental hygienist, professor and instructional designer at Tyler Junior College. She is a member of the American … Read More
YONKERS, NY — The ringleader of a massive Medicaid embezzlement scheme has been sentenced to nearly eight years behind bars. Julio Alvarado, of Yonkers, was sentenced to 95 months in prison for leading a scheme to defraud Medicaid of millions … Read More
HOUSTON – A 63-year-old Sugar Land resident has been ordered to prison for conspiracy to pay and receive kickbacks, announced U.S. Attorney Alamdar S. Hamdani. Joyce Agu pleaded guilty Oct. 17, 2022. Today, U.S. District Judge Randy Crane ordered her … Read More
A U.S. lawmaker is taking action after a KHN investigation exposed weaknesses in the federal system meant to stop repeat Medicare and Medicaid fraud and abuse. Rep. Lloyd Doggett (D-Texas) said he decided to introduce a bill in the House … Read More
The federal government has announced its 2023-2024 fiscal year budget, including a brand-new dental care plan for Canada. “We will begin rolling out a dental care plan that will eventually cover up to 9 million uninsured Canadians,” Chrystia Freeland said … Read More
The waiting room was full and so were the patient rooms at Dental Health Arlington on Friday. “We’re going to get a look at your teeth here, OK?” Dr. John Avila said to a young patient. “Alright honey, let’s get … Read More
In October, Democratic Gov. Andy Beshear announced the expansion of dental, vision and hearing benefits for 900,000 Kentucky adults on Medicaid. On March 16, the Republican-controlled General Assembly took a final vote to take those benefits away, calling the regulation … Read More
HOUSTON, Texas (KTRK) — A Houston couple is set to appear in court over allegations of fraud involving a home health company they jointly owned and operated. The video above is from ABC13’s Live Streaming Channel. Caroline Zamora, 63, and … Read More
A DSO, or a dental support organization, is an entity that contracts with dental practices to provide administrative, marketing, and/or other business management services for the practice. DSOs do not perform any clinical services. Instead, the services they provide are … Read More
Federal prosecutors charged a Kinnelon woman with health care fraud Friday, alleging that she received $10 million in fraudulent reimbursement payments over a span of seven years. Aysha Khan, 33, controlled and operated specialty pharmacies in New Jersey, New York, … Read More
Houston – A Houston couple is set to appear before a federal judge Friday on allegations they were involved in a multi-million dollar home health fraud scheme. Caroline Zamora, 63, and Rommel Zamora, 59, were indicted Mar. 1. According to … Read More
A New Jersey woman was arrested on Friday for using pharmacies she controlled to bill insurance companies for non-existent prescriptions, according to the DOJ. Aysha Khan, a 33-year-old from Kinnelon, controlled a network of pharmacies in New Jersey, New York, … Read More
Florida Attorney General Ashley Moody’s Medicaid Fraud Control Unit (MFCU) announced the arrest of a man who stole hundreds of thousands of dollars from a state taxpayer-funded program. MFCU charged Carlos Cabrera with Medicaid provider fraud. Cabrera ran Angels on … Read More
CORPUS CHRISTI, Texas — A former business manager for a San Antonio nursing home has been sentenced to 10 years in prison for misappropriating funds from Medicaid recipients, a press release from Attorney General Ken Paxton’s Medicaid Fraud Control Unit … Read More
A New York City man was arraigned on three felony charges for allegedly practicing dentistry without a license in White Plains, N.Y. Cesar Masso, 78, allegedly operated his false practice out of a White Plains storefront set up as East … Read More
We hosted our 2023 Texas State of Reform Health Policy Conference recently, bringing together thought leaders, legislators, and policy experts into multi-silo conversations about the future of healthcare in Texas. Too often, those with good ideas for reforming healthcare don’t … Read More
A proposed class action alleges Wells Fargo, Conduent State & Local Solutions, Inc. and Conduent Business Services, LLC regularly refuse to refund New Mexico EPPICard users whose accounts have been subject to fraud. The 19-page lawsuit was filed by two … Read More
Lillian Hamilton, a Virginia Medicaid enrollee and 21-year-old tattoo shop manager from Hampton Roads, is still trying to get her wisdom teeth removed after years of living with a constantly swollen jaw, the pain from which has resulted in multiple … Read More
Nearly 12 years ago, a nonprofit centered on substance abuse prevention in Lyon County, Nev., broadened its services to dental care. Leaders with the Healthy Communities Coalition were shocked into action after two of their food pantry volunteers used pliers … Read More
WHITE PLAINS, N.Y. (PIX11) — A Queens man was arraigned Friday on multiple felony charges for allegedly practicing dentistry without a license out of a storefront in White Plains, officials said. Cesar Masso, 78, was arrested on March 9 for … Read More
CHARLOTTE — Federal agents are working to seize two properties owned by a North Carolina woman after she was accused of committing healthcare fraud. In the civil forfeiture documents, the FBI is seeking the forfeiture of two Charlotte properties: One … Read More
VIRGINIA BEACH, Va. (WAVY) — A former Navy officer who orchestrated a scheme to illegally to take information from seniors to defraud Medicare out of more than $2 million will serve more than five years in prison. 37-year-old Jordan Thomas … Read More
The United States Dental Insurance market report considers the major factors accountable for driving the growth of the United States Dental Insurance Industry, in addition to the key hindrances and challenges. In the initial segment of the report, the market … Read More
On March 10, 2023, the Honorable Katherine A. Crytzer of the United States District Court for the Eastern District of Tennessee at Knoxville sentenced Dr. Clarence (“Buzz”) Nabers, a 56 year old Knoxville dentist, to six months in prison followed … Read More
Texas lawmakers are facing a choice: approve $3.3 million in state funds to end a lawsuit accusing Attorney General Ken Paxton of improperly firing four whistleblowers or reject an out-of-court settlement — potentially adding millions of dollars in costs while … Read More
A 43-year-old Houston woman has been charged for conspiracy to commit and committing health care fraud, announced U.S. Attorney Alamdar S. Hamdani. Rose Davies is made her initial appearance before U.S. Magistrate Judge Dena H. Palermo at 2 p.m. on … Read More
Since Jan. 1, about 16% of dentists reported they have dropped out of some dental insurance networks, according to insights from the ADA Health Policy Institute’s February Economic Outlook and Emerging Issues in Dentistry Poll. On average, the dropped networks … Read More
