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
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 as … Read More
FORT SMITH — A Lavaca man was sentenced Thursday to 15 years in prison for one count each of conspiracy to commit health care fraud and money laundering. Billy Joe Taylor, 44, admitted in a plea agreement that, from about … Read More
FERGUS FALLS, Minn. — All six of Michelle Ehlert’s children have Medicaid plans that should cover their dental care. But for years, she and her husband paid for dental care out-of-pocket — sometimes thousands of dollars a year. They couldn’t … Read More
SoonerSelect members will pick a dental plan beginning this fall. You will have a chance to pick a dental plan. If you do not pick a plan, OHCA will pick one for you and your family. Dental plans will cover … Read More
Low-income mothers in Texas won some health gains during this past legislative session, primarily through the expansion of postpartum Medicaid benefits, but overall state lawmakers kept their eyes and dollars focused on law tweaks and boosting dollars to existing health … Read More
FLORHAM PARK, N.J., June 08, 2023 (GLOBE NEWSWIRE) — Conduent Incorporated (Nasdaq: CNDT), a global technology-led business solutions and services company, today announced being one of Newsweek’s Top 100 Global Most Loved Workplaces® for 2023. Newsweek’s Most Loved Workplaces® is … Read More
9:30 a.m. Friday update: Austin real estate developer Nate Paul, who is at the center of Texas Attorney General Ken Paxton’s impeachment, will be arraigned on federal charges at 11 a.m. Friday in Austin, according to the court clerk’s office. The … Read More
AUSTIN (Nexstar) — A bipartisan group of state senators stood with faith leaders at the Texas Capitol Wednesday to push back on looming changes to Medicaid that could strip almost $9 billion out of the system and leave hundreds of … Read More
In a speech last November, President Joe Biden condemned the growing “intimidation…against Democrats and Republicans and nonpartisan officials just doing their jobs.” I know those aren’t just words to Biden. I had the privilege of working with and getting to … Read More
HARARE – Corporate 24 Medical Centre founder and CEO, Mike Joka Tuesday appeared before a Harare magistrate accused of swindling Premier Service Medical Aid Society (PSMAS) of ZW$108,860 in 2021. Joka is jointly charged with company representative Naison Muza. They … Read More
PLANO, Texas – A Plano dentist has been sentenced to federal prison for COVID-19 relief related violations in the Eastern District of Texas, announced U.S. Attorney Damien M. Diggs today. Brian Bui, 43, pleaded guilty to wire fraud and was … Read More
A group of patients and advocates rallied Wednesday outside Minneapolis-based UnitedHealthcare, protesting a policy expansion. The policy deals with preauthorization for doctors to perform some procedures The update requires approval from health plans before several more procedures, including some endoscopies … Read More
A Kentucky dentist accused in the overdose death of a patient faces new charges of prescribing drugs illegally. A federal grand jury returned a superseding indictment against Dr. Jay M. Sadrinia on May 25. Sadrinia was initially charged in April … Read More
ATLANTA — MCNA Insurance Company, which provides services to many state Medicaid agencies and Children’s Health Insurance Programs (CHIP), announced a data security breach that involves recipients’ personal information. The company listed more than 100 affected organizations impacted by the … Read More
Comptroller Glenn Hegar’s office confirmed Thursday that Attorney General Ken Paxton will not be paid his $153,750 annual salary while he is on suspension. The state’s top lawyer was removed from office last week and is awaiting his impeachment trial … Read More
Tenet Healthcare has agreed to a $29.7 million civil settlement over whistleblower claims of physician kickbacks in exchange for patient referrals at its Detroit Medical Center subsidiary, the Department of Justice (DOJ) announced Wednesday. The government alleged that the False … Read More
WASHINGTON, May 30, 2023 /PRNewswire/ — Medicare Fraud Prevention Week kicks off on June 5 and ends on June 11. Now in its second year, the national observance was established by the Administration for Community Living’s (ACL) Senior Medicare Patrol (SMP) program to raise awareness … Read More
GEHA is funding scholarships for students at UMKC dental to help address a dentist shortage. Source: GEHA funds scholarships for UMKC dental school students, works to address dentist shortage / yahoo!life
LITTLE ROCK, Ark. (KNWA/KFTA) — A Northwest Arkansas psychiatrist under investigation for Medicaid fraud and facing accusations of false imprisonment has resigned from the Arkansas State Medical Board. Dr. Brian Hyatt was the medical director of Northwest Medical Center’s behavioral … Read More
The Minnesota Dental Association (MDA) successfully led a legislative effort to expand the adult dental Medicaid benefit set. The legislation, included in the 2023 Health and Human Services Omnibus, was signed by Governor Walz today. For the first time since … Read More
Every week, hygienist Joanne Puente sees patients at the People’s Health & Wellness Clinic in Barre who have not seen a dentist in years and come to her with severe tooth decay. They are newly in recovery from opioid abuse … Read More
In an unprecedented move, a Texas House committee voted Thursday to recommend that Attorney General Ken Paxton be impeached and removed from office, citing 20 accusations that include bribery, retaliating against whistleblowers and obstruction of justice. Around 8 p.m., the … Read More
Tech staffing firm Accenture is laying off more than 500 employees in Austin amid a wider wave of cuts by technology employers. Accenture, an Irish-American contract firm focused on information technology services and consulting, is considered one of Austin’s largest … Read More
