TOPEKA, Kan. (WIBW) – One Kansas woman and three Florida residents have been indicted in connection with a scheme to defraud Medicare, according to the United States Attorney’s Office District of Kansas. Court documents say that a federal grand jury … Read More
Federal authorities announced that a Florida man was charged for his role in conspiracies to pay illegal kickbacks and to commit health care fraud that caused at least $64 million in losses to federal health care benefit programs. According to … Read More
Three providers will pay out $22.5 million across two separate settlements to resolve false claims allegations in California, the Department of Justice (DOJ) announced. Dignity Health and two Tenet Healthcare subsidiaries will settle allegations that they violated both federal and … Read More
Dentists across the country are largely in favor of dental insurance reform, according to findings from the ADA Health Policy Institute’s Economic Outlook and Emerging Issues in Dentistry poll. More than 1,100 dentists responded to the November wave of the … Read More
A Raleigh CEO was sentenced Thursday to more than six and a half years in prison for health care fraud. According to the U.S. Department of Justice, Tanya Grant, 51, was investigated for a health care fraud scheme she carried … Read More
BOSTON–(BUSINESS WIRE)–The Oral Health Response Workgroup, a collection of leaders and organizations from across the dental industry, is calling on Congress to improve oral health equity and access by including extensive adult dental benefits in all state Medicaid programs. The … Read More
Two healthcare systems agree to pay federal, state governments more than $22 million in settlement deal. It’s a $22. 5 million settlement in a fraud case involving some major health care providers on the Central Coast. Federal prosecutors reached a … Read More
DALLAS – A former slave from Texas is being honored for being a trailblazer. Dr. Marcellus Clayton Cooper was enslaved on a farm in Dallas in 1862, before later becoming the state’s first Black dentist. He also co-founded Dallas’ first … Read More
MIAMI – Federal authorities arrested nine people Tuesday, accusing them of orchestrating a $37 million South Florida-based health care fraud scheme. For some of the suspects, the scheme was a family affair, prosecutors allege. According to the U.S. Department of … Read More
MERIDEN — A local woman has become the second Connecticut personal care assistant in six days to be charged with stealing thousands of dollars from Medicaid. Kenisha T. Swain, 43, of Meriden, followed her cousin, Deborah V. Swain, 52, of … Read More
A man, who along with his wife, was sentenced to 144 months in federal prison for a multi-million dollar Medicaid fraud scheme is claiming his attorney was ineffective for advising him his wife could be compelled to testify against him … Read More
A Texas married couple was sentenced today for a $1 million Medicare fraud scheme, including violations of the federal Anti-Kickback Statute. Lindell King, 53, of Missouri City, was sentenced to 60 months in prison. Ynedra Diggs, 45, also of Missouri … Read More
A major Texas hospital group shored up its push for legislative assistance with warnings that nearly 1 in 10 of the state’s hospitals are at risk of closure—roughly twice as many as during the run-up to the COVID-19 pandemic. Further, … Read More
Attorney General Kwame Raoul today announced the Attorney General’s office obtained a guilty plea in a case against a Cook County OB-GYN who fraudulently charged Illinois’ Medicaid program for services that were never provided. In a case being prosecuted by … Read More
DALLAS — A nonprofit organization will host a pop-up clinic this weekend offering free health services in Dallas. Remote Area Medical (RAM) is partnering with the UNT Health Science Center to bring a two-day clinic to the Kay Bailey Hutchison … Read More
New York’s top prosecutor accused the owners of a Rochester-area nursing home of stealing $18.6 million in government funds as residents at the understaffed facility suffered years of neglect, culminating in preventable COVID-19 deaths. Attorney General Letitia James on Tuesday … Read More
he world’s first journal focused on dentistry and tooth care, the American Journal of Dental Science, was published in 1839; seven years earlier, the London-based James Snell invented the first reclining chair specifically designed for dental work. Britain’s inaugural dental … Read More
GREENBELT, MD — A 70-year-old Silver Spring dentist was sentenced in federal court on Friday to 30 months in federal prison followed by three years of supervised release, according to court documents. He was also ordered to pay more that … Read More
Medicare Advantage, also known as Medicare Part C, is a popular form of health insurance coverage for U.S. adults age 65 and older. But picking the right plan can be complicated—nationwide, insurance providers offered a total of 4,064 different Medicare … Read More
A Plano dentist pleaded guilty to COVID-19 related fraud, a federal violation in the Eastern District of Texas. U.S. Attorney Brit Featherston made the announcement on November 18, and the Federal Bureau of Investigation is currently investigating the case. Forty-two-year-old … Read More
The ADA believes that requirements related to advanced explanation of benefits should be applicable to dental plans as they work in concert with good faith estimates for the benefit of both patients and providers. That was one of the key … Read More
TennCare officials say they’re on track to provide dental coverage to all members starting Jan. 1. The state’s Medicaid agency is one of the last in the country to cover dental work for adults. Tennessee had already expanded dental benefits … Read More
Edward Buford III, a Silver Spring dentist, was sentenced to 30 years in federal prison Friday in connection with a scheme to fraudulently obtain Medicaid funds by recruiting Medicaid beneficiaries through a payment of kickback and bribes. Buford, 70, also … Read More
MIAMI – A federal magistrate judge has unsealed an indictment charging Miami resident Julio Arsenio Rodriguez, 61, with running a money laundering operation involving millions of Medicare and Medicaid health care fraud proceeds. These proceeds stemmed from multiple clinics located … Read More
SHERMAN, Texas – A Plano, Texas, dentist has pleaded guilty to federal violations in the Eastern District of Texas, announced U.S. Attorney Brit Featherston today. Brian Bui, 42, of Plano, pleaded guilty to wire fraud before U.S. Magistrate Judge Christine … Read More
The Texas Medical Association filed its second lawsuit in less than a year against the US Department of Health and Human Services (HHS) last month over federal policies on surprise billing. The latest suit alleges that the recently released final … Read More
Two New York pharmacy owners who “exploited the Covid-19 emergency for their own financial gain,” pleaded guilty to an international scheme to submit fraudulent claims to Medicare for cancer medication, the Department of Justice (DOJ) announced Wednesday. Arkadiy Khaimov, 39, … Read More
In this edition of “What They’re Watching,” Stephanie Muth, former Texas Medicaid Director and currently a Principal at Stephanie Muth Consulting, says Medicaid redeterminations and addressing the social determinants are 2 of her top priorities. “One of the projects that … Read More
A Beverly Hills, California man was convicted on Tuesday in Federal court for his role in a $723,000 health care fraud and prescription drug diversion scheme at two pharmacies in Southern California, the U.S. Department of Justice said. Between 2016 … Read More
A Cary man has been sentenced to more than 12 years in prison for defrauding the North Carolina Medicaid system of more than $7 million in an elaborate scheme, the Department of Justice announced. Antonio Deon Fozard was sentenced Tuesday … Read More
Though the flurry of state PBM-focused legislation slowed down with the summer recess, there has still been plenty of noteworthy PBM news. This roundup focuses on state Medicaid enforcement activities involving Centene and provides a brief overview of recent legislative … Read More
As part of its commitment to uplifting underserved communities and expanding access to dental care, DentaQuest has continued its support of free health care services to individuals in need at Missions of Mercy and similar pop-up clinics across the United … Read More
Chicago, IL) — A suburban Chicago dentist was sentenced to two and a half years in federal prison last week for fraudulently obtaining $1.2 million in medical care loans for purported dental work that was never performed. Michael D. Egan, … Read More
A Leawood physician pleaded guilty Thursday in federal court for his role in a nationwide Medicare fraud scheme to pay kickbacks and bribes to doctors to sign off on expensive — and unneeded — prescriptions and medical equipment. Frederick Scott … Read More
DURHAM, N.C. (WNCN) – A Durham dentist has been sentenced to federal prison after pleading guilty to tax fraud, according to the U.S. Department of Justice. Santa Maria McKibbins will serve one year and a day in federal prison and … Read More
The Northwest Texas Healthcare System held a Friday morning service honoring its many veteran employees on the front lawn of its campus in Amarillo. The Randall County Sheriff’s Office Color Guard did the honors of presenting the colors for the … Read More
Volunteers from the dental and audiology programs at University of the Pacific stepped up to serve Bay Area military veterans in advance of Veterans Day by hosting a free health event in San Francisco. The November 10 event offered veterans … Read More
AURORA, Colo. — An Aurora woman is suspected of billing Medicaid for home health-care services that she didn’t provide over about 16 months, resulting in the theft of $372,150, the Colorado Attorney General’s Office said on Thursday. Dejane Reaniece Lattany, … Read More
The Supreme Court agreed Nov. 10 to hear the appeal of a Texas man convicted of health care fraud who argues that he was unjustly separately convicted under a federal aggravated identity theft law because a form he filed contained … Read More
On October 25, 2022, Melvin Lee Robison, 68, of Lake City, Colorado, was sentenced to serve 54 months in federal prison for illegal drug distribution and health care fraud, announced U.S. Attorney Robert J. Troester for the Western District of … Read More
