Prism Health North Texas is proud to share that Jocelyn Kidd DDS, dentist at Prism Health North Texas Dental’s Vickery Clinic, has been named as an honoree ahead of the National Dental Association (NDA) celebrating the 10th anniversary of NDA-HEALTH … Read More
The health records company NextGen Healthcare will pay $31 million to resolve allegations that it paid kickbacks to win customers and concealed shortcomings of its software to gain government certification. The settlement caps a lengthy investigation that cast a harsh … Read More
CHATTANOOGA, Tenn. — A Chattanooga-based dermatologist who owns skin cancer clinics at locations throughout our viewing area has agreed to pay the federal government more than $6 million to settle insurance fraud claims. The U.S. Department of Justice (DoJ) says … Read More
The Silver Spring owner of Holy Health Care Services pled guilty Wednesday to conspiracy to commit health care fraud in connection with a scheme to pay bribes and kickbacks to Medicaid beneficiaries and then charge Medicaid. Mboutchock Kabiwa, who also … Read More
SAN ANTONIO–(BUSINESS WIRE)–Local dental practices across Texas proudly served six communities’ oral health needs by joining forces with parent company Benevis for its eighth annual Sharing Smiles Day on Sunday, May 21, 2023. To celebrate their dedication to addressing the … Read More
At the Red Bird Mission dental clinic in Southeastern Kentucky, patients with few or no teeth now are eligible for dentures through an expansion of the state’s Medicaid dental services for adults. “People are tickled to death,” said Dr. Bill … Read More
A federal judge handed down one of his stiffest sentences yet in a vast $50 million prescription drug scheme that has snagged Jersey Shore firefighters, teachers, police officers, doctors and a pizza shop owner, sentencing a Margate firefighter to eight … Read More
PHOENIX – A Mesa woman admitted in court to defrauding Arizona’s Medicaid agency of millions of dollars, authorities said Thursday. Diana Marie Moore, 42, pleaded guilty Monday to charges of wire fraud and money laundering, the U.S. Attorney’s Office for … Read More
Frisco, Texas – A significant ruling was recently delivered in the Eastern District of Texas. The case in question concerned a resident of Frisco who was involved in unlawful activities tied to wire fraud, as announced by U.S. Attorney Damien … Read More
On July 7, 2023, U.S. Attorney Damien M Diggs announced the sentence of 54 months in federal prison for Oscar Simon Ndereva from Frisco, for wire fraud violations in the Eastern District of Texas. According to the Attorney’s Office statement, … Read More
On June 28, New York Attorney General Letitia James filed a lawsuit against the owners, operators, and landlords of four nursing homes for years of repeated and persistent fraud and illegally misusing more than $83 million in taxpayer money that … Read More
Franklin, Tennessee-based Health Connect America, with locations in Big Stone Gap and Culpeper, Virginia, has agreed to pay more than $4.6 million to resolve allegations that it billed Virginia Medicaid for services not provided, according to the U.S. Department of … Read More
Gov. Greg Abbott has appointed Angela Colmenero, his deputy chief of staff, to take over as the state’s interim attorney general as Ken Paxton remains suspended from office pending an impeachment trial in the Senate in September. In late May, … Read More
North Carolina resident Anthony Brooks spent the last few weeks rushing to schedule doctor’s appointments and procedures to treat his chronic heart problems. The 57-year-old is set to lose his health care coverage through Medicaid at the end of the … Read More
AUSTIN – The Office of the Attorney General (“OAG”) reached a $5 billion multistate settlement with CVS for the company’s role in the national opioid epidemic, including inadequately monitoring opioid prescriptions. Over $300 million is designated for Texas. The agreement … Read More
FRISCO, Texas — A Frisco man has been sentenced to federal prison for wire fraud violations in the Eastern District of Texas, according to U.S. Attorney Damien M. Diggs. Oscar Simon Ndereva, 45, pleaded guilty to wire fraud and was … Read More
California AG Rob Bonta, in partnership with the DOJ, settled with four health care providers to resolve allegations that they violated state and federal False Claims Acts through the submission of fraudulent claims to Medi-Cal, California’s Medicaid program. According to … Read More
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
