WICHITA, Kan. (WIBW) – A Wichita woman has been ordered to pay back more than $15,000 after she used her dead care attendant’s information to continue to receive Medicaid benefits. Kansas Attorney General Derek Schmidt says that on Tuesday, Oct. … Read More
PUEBLO, CO — Attorney General Phil Weiser announced charges against a Pueblo woman on Thursday, October 28th. The Colorado Department of Law filed the charges for Medicaid fraud. 46-year-old Renee Fosano is accused of submitting Medicaid claims for reimbursement for … Read More
On Election Day, South Dakota voters will decide whether to expand Medicaid coverage. The move could extend health care benefits to an additional 42,500 low-income residents. Critics worry the estimate of eligible residents is low and that expanded Medicaid could … Read More
Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced that more than half of all states have expanded access to 12 months of Medicaid and Children’s Health Insurance Program … Read More
A Texas physician could face up to 20 years in prison for pleading guilty to a charge related to kickbacks from Medicare fraud. Meanwhile, a New York physician will pay $900,000 to resolve civil claims for up-coding billings for medical … Read More
Houston — The ADA House of Delegates closed its 2022 session Oct. 18, approving a small dues increase and budget deficit. The 2023 budget reflects $146,407,000 in revenues and $148,326,000 in expenses and income taxes, generating a net deficit of … Read More
A week after the D.C. Council awarded multibillion-dollar contracts for insuring D.C.’s Medicaid patients to three insurers, seeming to finally end a years-long struggle to right the city’s Medicaid system after court and council fights, Mayor Muriel E. Bowser has … Read More
A doctor pleaded guilty to his role in a $54 million scheme to defraud Medicare by prescribing durable medical equipment and cancer genetic testing without ever seeing, speaking to, or otherwise treating patients. According to court documents, Daniel R. Canchola, … Read More
A free ADA webinar in November will educate participants on key changes to the 2023 CDT Code and how these changes affect treatment planning and documentation. Optimizing Your Practice 2022: Accurate Coding for Treatment/Record-keeping/Claims will stream Nov. 15 from noon-1 … Read More
SYRACUSE N.Y. — The Office of New York State Attorney General (OAG) Letitia James in collaboration with the U.S. Attorney’s Office, announced Monday that they reached a settlement with Ahmad M. Mehdi and his medical practice in Central New York. … Read More
Dr. Leyla Nourian never belonged on a list of defendants in a $158 million healthcare fraud scheme. She knew it from the start, her lawyer Tom Melsheimer agreed, and now the judge has agreed, as she was dismissed from the … Read More
WICHITA FALLS, Texas (KAUZ) – When people think about October, some of the first things that come to mind are fall, pumpkins, and Halloween, but October is also National Dental Hygiene Month. For Oct. 20′s Health Watch segment, News Channel … Read More
Texas Health and Human Services Commission (HHSC) Deputy Executive Commissioner Wayne Salter testified to the earlier this month that the state’s shortage of professionals responsible for processing Medicaid and other public benefits has caused delays. He said the state had … Read More
For-profit home health provider Carter Healthcare LLC, along with its affiliates CHC Holdings and Carter-Florida (collectively Carter Healthcare), their President Stanley Carter and Chief Operations Officer Bradley Carter will pay $7.175 million to settle allegations that they violated the False … Read More
According to the results of a new state survey, 56% of Texans say health insurance should cover non-medical factors such as access to food and housing. A majority (65%) of respondents also said more state funding to address these factors, … Read More
Houston — George R. Shepley, D.D.S., of Baltimore, was installed Oct. 18 as the 159th president of the American Dental Association. Dr. Shepley and the new and returning officers of the Association were installed at the ADA House of Delegates … Read More
HOUSTON – An operator and manager at a dental clinic have been charged for their roles in a health care fraud scheme involving $6 million in claims to Medicaid, announced U.S. Attorney Jennifer B. Lowery. Authorities took Ifeanyi Ndubisi Ozoh, … Read More
Dental coverage under Medicare could soon start expanding for seniors under a new proposal from the U.S. Centers for Medicare and Medicaid Services (CMS). Still, the proposed rules would not provide full coverage for regular dental care, which has been … Read More
According to the American Dental Association’s “Dental Workforce Shortages” report, 42.9 percent of dental hygienists voluntarily left the field because of the culture. The report includes results from a survey conducted in June. The survey included responses from 4,255 dental … Read More
The first time Ella Jacobs met Dr. Dan Burch, she was on the verge of tears. Jacobs was afraid Burch, a clinical assistant professor at Texas A&M College of Dentistry, would tell her the same thing as every dentist before … Read More
For years, a Georgia pharmacy ran a lucrative scheme, government prosecutors alleged. It skirted federal restrictions on the sale of compounded pain creams to members of the U.S. military’s health system, making millions of dollars in profits. Prosecutors said the … Read More
Proposed changes in Medicare rules could soon pave the way for a significant expansion in Medicare-covered dental services, while falling short of the comprehensive benefits that many Democratic lawmakers have advocated. That’s because, under current law, Medicare can pay for … Read More
STUART, Fla. – A federal judge sentenced a Florida medical equipment supply company owner to spend more than four-and-a-half years in prison after prosecutors said he defrauded Medicare out of more than $2.2 million. Ariel Madero Paez, 56, was the … Read More
ELKINS, W.Va (WDTV) – A Randolph County woman has been charged after officials said she defrauded the West Virginia Medicaid Program of almost $10,000. Carrie Collins, of Beverly, was employed by her mother and grandmother through a Kanawha County business … Read More
LEBANON, N.H., Oct. 12, 2022 – U.S. Department of Agriculture (USDA) Rural Development Under Secretary Xochitl Torres Small today announced that USDA is awarding $110 million in grants to improve health care facilities in rural towns (PDF, 423 KB) across … Read More
A Missouri business owner was sentenced to 2 1/2 years in prison on Thursday for his role in a health care scheme that submitted more than $7.5 million of fraudulent claims to Medicare. Jamie McCoy, 42, of Jackson, Missouri, pleaded … Read More
NORMAN, Okla. – The University of Oklahoma College of Dentistry, Oklahoma Dental Association, Oklahoma Dental Foundation and Henry Schein Dental will host the third annual Veteran’s Day Dental Clinic on Saturday, Nov. 12. The coordinated one-day event improves access to … Read More
Boston, Oct. 11, 2022 (GLOBE NEWSWIRE) — DentaQuest announced today that Executive Vice President and Chief Human Resources Officer Roxanne Martinez is an inductee to the Association of Latino Professionals For America’s (ALPFA) second annual Most Powerful Latinas (MPL) Hall … Read More
(RALEIGH) Attorney General Josh Stein today announced that his Medicaid Investigations Division (MID) has surpassed $1 billion in recoveries and restitution since the beginning of the division’s creation in 1979. Since its creation, MID has won 673 criminal convictions and … Read More
A federal jury ruled a Texas physician was guilty of a $16 million scheme to defraud Medicare by signing false “plans of care” for home health services. Yolanda Hamilton, 56, the owner and operator of HMS Health and Wellness Center, … Read More
NEW YORK – New York Attorney General Letitia James today announced a $753,457 agreement with pediatric dentist Dr. Barry L. Jacobson and his company HQRC Management Services LLC (HQRC), along with 13 other affiliated pediatric dentistry locations. The dentistry group … Read More
Indianapolis-based health insurance giant Elevance Health, previously Anthem, Inc., will have to face a federal lawsuit alleging it pocketed at least tens of millions of dollars by submitting inaccurate claims to the U.S. Centers for Medicaid & Medicare Services. The … Read More
One dental leader connected with Becker’s Oct. 4 to answer the question, “What is one trend holding the dental industry back?” Editor’s note: Response has been lightly edited for length and clarity. Barry Lyon, DDS. Dental Director for Dental Care Alliance: A trend … Read More
BOSTON, Oct. 05, 2022 (GLOBE NEWSWIRE) — DentaQuest, the nation’s second largest dental benefits administrator, today announced it has been selected as a preferred vendor by the Association for Community Affiliated Plans (ACAP). Specifically, DentaQuest is recommended as a partner … Read More
SEWELL, NJ — A medical sales representative from Sewell will spend 14 years in prison for defrauding public health insurance plans out of more than $4 million, officials announced. In April, 40-year-old Steven Monaco was convicted of one count of … Read More
Boston, Oct. 04, 2022 (GLOBE NEWSWIRE) — DentaQuest, the nation’s largest provider of Medicaid and CHIP dental solutions, today announced a $500,000 contribution to the Florida Disaster Fund, which assists Florida’s communities as they respond to and recover during times … Read More
Dr. Omar Guesmia, proprietor of Gentle Dental Care, will pay $60,000 to resolve allegations that he and his dental practice violated the Controlled Substances Act by enabling an office staff member to use an electronic prescription system to obtain oxycodone … Read More
How much of a pay raise does Texas Health Resources need? The region’s largest health system, controlling nearly a quarter of the hospital market, already has the highest health care charges in North Texas — roughly a third higher than … Read More
Oral health is essential to our overall health and well-being. But for so many underserved communities, it’s simply not a realistic option to maintain routine dental visits. Delayed dental care can allow potentially dangerous conditions to remain untreated and can … Read More
The Maximizing Outcomes through Better Investments in Lifesaving Equipment for Health Care Act — legislation that gives community health centers more flexibility in using New Access Points grants for mobile health care units — passed the House of Representatives on … Read More
