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
Two employees of a Morgantown dental office were indicted by a federal grand jury earlier this week for allegedly collecting nearly $30, 000 in combined COVID-related unemployment benefits. Amanda J. Kincell, 42, of Fairview, and Casey Fike, 39, of Morgantown, … Read More
Have you had trouble getting dental care lately? If so, you’re not alone. Vermonters with low incomes, in particular, face a crisis in access to oral health care. Thousands of Medicaid patients in Vermont struggle to find a dentist who … Read More
Last November, Tiayana Hardy gave birth to her first child, a baby girl named Laylani. “She came a week before her due date, but I can’t complain about that,” said Hardy. “She was born healthy, she’s an easy baby, and … Read More
Attorneys for four former employees who sued after Texas Attorney General Ken Paxton fired them asked the state Supreme Court on Wednesday to take up their whistleblower case again, worried that their $3.3 million settlement agreement may be falling apart. … Read More
Arkansas is one of the many states taking part in unwinding continuous Medicaid, which is expected to decrease Medicaid rolls of more than one million citizens. During the pandemic, enrollment in Medicaid grew by more than 25 percent as a … Read More
The Biden administration wants to make sure states are doing all they can to minimize the number of Medicaid enrollees who wind up uninsured once states regain the ability to drop ineligible recipients next month. The Department of Health and … Read More
A former Pennsylvania physician was sentenced in federal court following his conviction for healthcare fraud on Tuesday. John Keun Sang Lee, 80, was sentenced to five years of probation by United States District Judge W. Scott Hardy, according to a … Read More
A federal judge has ruled that a now-shuttered Wisconsin substance abuse center and its CEO owe the state and federal government more than $2 million in a Medicaid fraud case. Online court records show U.S. District Judge J.P. Stadtmueller ruled … Read More
The day began with a mantra they all knew. “I am quick. I am sharp. I am bright. I am smart. I am rich and good looking, and I am a major blessing. Now point to your neighbor and say, … Read More
Dr. Brian Hyatt stepped down as chairman of the Arkansas State Medical Board Thursday in a special meeting following “credible allegations of fraud,” noted in a letter from the state’s office of Medicaid inspector general. Members of the board met … Read More
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
