A Houston-based medical company care hospital has agreed to pay more than $21 million to settle a federal lawsuit alleging it defrauded Medicare for years. Cornerstone Hospital Medical Center was a long-term care hospital that specialized in “providing extended medical … Read More
A Northwest Arkansas psychiatrist under investigation for Medicaid fraud was also named as a defendant in two lawsuits filed earlier this year alleging criminal misconduct toward patients. Dr. Brian T. Hyatt of Rogers was informed on February 24 that his … Read More
A former Oklahoma City physician, charged in 2016 with 29 felony counts and one misdemeanor, pleaded guilty last week to Medicaid fraud and multiple drug offenses. Harvey Jenkins operated Aria Orthopedics in south Oklahoma City, where he prescribed large volumes … Read More
DentaQuest, part of Sun Life U.S., recognizes and celebrates National Children’s Dental Health Month, a time when oral health professionals, health care providers and educators work together to promote the benefits of good oral health to children and their support … Read More
Letter urges agency to exercise its ‘oversight abilities’ inreporting of medical loss ratios The American Dental Association is asking the Centers for Medicare & Medicaid Services to improve the transparency of Medicaid managed care plans and how they report medical … Read More
An investigation by Attorney General Paxton’s Medicaid Fraud Control Unit has led to the sentencing for health care fraud of two individuals in federal court in Del Rio, Texas. Melody Ann Villarreal and Oscar Gutierrez, Jr. were both found guilty … Read More
A former personal care assistant received a suspended jail sentence and fines after admitting that she did not provide services for which her employer billed Medicaid. Kayla MacArthur, 29, of Berlin, pleaded guilty in 6th Circuit Court in Concord on … Read More
The Texas Health and Human Services Commission (HHSC) confirmed on Friday that it is actively hiring and recruiting additional staff ahead of Medicaid redeterminations. In a statement to State of Reform, HHSC said Medicaid eligibility renewals would begin in April … Read More
The Texas Primary Care Consortium (TPCC) outlined its 2023 policy priorities during a virtual presentation on Thursday, placing legislative efforts around maternal healthcare, Medicaid modernization, and transition to value-based payments at the forefront. Led by the Texas Medical Home Initiative … Read More
A dental hygienist and dental assistant have won $15,706 in back wages to be paid by the North Texas dentists who fired them for raising concerns about COVID-19 safety measures in spring 2020 following a federal whistleblower investigation conducted by … Read More
A federal grand jury has indicted an Oakland County doctor on a charge of healthcare fraud, alleging she ran a scheme to submit bogus claims to Medicare. According to a criminal complaint authored by an FBI special agent, Dr. Sangita … Read More
Damian Williams, the United States Attorney for the Southern District of New York, announced today that KEYON DOOLING and ALAN ANDERSON were sentenced to 30 months and 24 months in prison, respectively, for their roles in a scheme to defraud … Read More
Conduent Inc., the company that runs the New Mexico Medicaid program’s management information system, on Tuesday announced it has again been selected by the New Mexico Human Services Department for a new contract. The new Conduent management information system is … Read More
All Give Kids A Smile events at the Howard University College of Dentistry are special, but this year was especially touching when the school opened its doors to more than 90 migrant children in the D.C. area. Jose Garcia, D.D.S., … Read More
The Health Insurance Portability and Accountability Act requires a covered dental practice to have written policies and procedures on breach notification and to adhere to them before, during and after a breach. Failure to do so can result in penalties. … Read More
The following is an excerpt from Becker’s Hospital Review. A federal jury convicted a Virginia pharmacist Feb. 9 for his role in a prescription drug scheme that aimed to defraud Medicare of $1 million. Alongside co-conspirators, Ronald Beasley II, PharmD, the 33-year-old pharmacist … Read More
ST. LOUIS (KMOV) — Students at a St. Louis medical school are questioning why they were never informed that their medical ethics professor had a felony conviction for something unethical. Dr. Annessa Blackmun has a lot to say in lessons … Read More
he Illinois State Dental Society joined House and Senate legislators to announce support for key, consumer-centered legislation that will help protect patients by increasing transparency and accountability for dental insurers while ensuring more patient dollars go to patient care. “Illinois … Read More
A former Oregon dentist was sentenced to federal prison today for attempting to steal more $170 million in Covid-relief funds and illegally distributing thousands of doses of prescription drugs. Salwan Wesam Adjaj, 44, of West Linn, Oregon, was sentenced to … Read More
Delta Dental of Oklahoma and the Oklahoma State University Student Government Association partnered to host an event where 10 students were able to experience free dental services. The event, which took place at the Student Union on Jan. 27, was … Read More
Las Vegas (KSNV) — A former Medicard provided has been sentenced following the investigation of a fraud case that began in 2017. 64-year-old Tonda Renee Ward of Las Vegas, along with her company Southwestern Health Solutions L.L.C., was sentenced on … Read More
Boston, Feb. 15, 2023 (GLOBE NEWSWIRE) — Cheryl Polmatier, assistant vice president of strategic network solutions at DentaQuest, recently joined the advisory board of Women in DSO®, emphasizing a personal and professional commitment to advancing female leadership in the dental … Read More
Attorney General Todd Rokita Friday announced a $700,000 settlement on behalf of Hoosiers to address allegations that a Hammond orthopedic surgeon overbilled Indiana’s Medicaid program. “The purpose of Medicaid is to help patients in need cover health care expenses they … Read More
The Pill Club, an online women’s pharmacy, has reached an $18.3 million settlement with California authorities over claims it defrauded the state’s Medicaid program by prescribing birth control pills without adequate consultation and shipping tens of thousands of female condoms … Read More
Friday, the 21st annual Dentistry From the Heart event at Monticciolo Family Sedation and Dentistry offers free dental care to the first 500 people in line. Anything from cleanings to extractions and fillings, the team at Dr. Vincent Monticciolo’s office … Read More
The Texas Senate Committee on Finance (SCF) opened its first hearing of the 2023 legislative session on Monday. The committee heard testimony from various state agencies and commissions on funding requests and recommendations related to Senate Bill 1, the state’s … Read More
The Wilkens Family Dental Hygiene Clinic at Cape Cod Community College will offer free dental services to children starting Tuesday, Feb. 21, through Thursday, Feb. 23. Children ages 3 to 17 qualify for the services, available for three days, from … Read More
Federal officials collected more than $1.7 billion in settlements for healthcare fraud during the latest federal fiscal year that ended in September, with Medicaid fraud a leading factor. The Department of Justice (DOJ) announced Wednesday that it collected $2.2 billion … Read More
A doctor from Cleveland was sentenced to serve five years in prison for healthcare fraud in connection to fraudulent hospice operations throughout the Mississippi Delta. According to court documents, 58-year-old Scott Nelson was a medical director for numerous fraudulent hospice … Read More
Centene Corp. has agreed to pay more than $215 million to California over allegations it overcharged the state for pharmacy services — the biggest payout to date by the nation’s largest Medicaid insurer over its drug pricing practices. The agreement … Read More
Twenty-three Michigan residents were charged in connection with two fraud schemes involving Medicare, totaling more than $61.5 million. On Tuesday, the Justice Department unveiled charges for 13 of the 23 people, which included healthcare fraud, conspiracy to commit healthcare fraud, … Read More
The Detailed Agenda for our 2023 Texas State of Reform Health Policy Conference is now available! Through our extensive stakeholder engagement process, we have put together many exciting panels that will cover the most important topics in Texas health policy. … Read More
he Episcopal Health Foundation (EHF) released the results of its latest statewide poll on Tuesday, which showed that most Texans (63%) support increased state spending on healthcare programs. Healthcare trailed only public education (74%) as the top priority for increased … Read More
A company that in 2019 settled a $2 billion Medicaid fraud lawsuit with the state of Texas for $236 million was less than three years later awarded a contract similar to the one that had sparked the previous litigation, according … Read More
YOUNGSTOWN, Ohio – Dental students and dental industry professionals gathered at Choffin Career and Technical Center Friday morning, awaiting a bus of around 50 students from Youngstown’s Paul C. Bunn Elementary School. The event was a kickoff to the “Give … Read More
Dentists frequently tell their patients that oral health is overall health. Even so, Texas’s dental health ranks among the worst in the nation, according to a new study by personal-finance website WalletHub. The Lone Star State ranked 47th in the … Read More
Give Kids A Smile kicks off Feb. 3 in the place where it was born. St. Louis is the host this year of the national kickoff of Give Kids A Smile, the flagship access-to-care program administered by the ADA Foundation … Read More
The American Dental Association is projecting an increase in dentists in the next 20 years, but the number of people in dental assisting programs is expected to decline. Enrollment has been going down since 2015 but the pandemic made it … Read More
A behavioral health provider agreed to pay more than $384,000 in a civil settlement with the federal and Connecticut state government over allegations of overbilling Medicaid for certain services. The U.S. Attorney and Connecticut Attorney General William Tong announced the … Read More
An operator behind Atrium Health and Senior Living and a former top executive were indicted Wednesday on an extensive list of healthcare fraud, tax fraud and money laundering offenses, the Department of Justice announced Thursday. The alleged crimes happened from … Read More
