(Reuters) – Managed care giant Centene Corp has agreed to pay $33.3 million to resolve claims that it overcharged Apple Health, Washington state’s Medicaid program, for pharmacy benefit management services, the latest in a string of similar settlements with states. … Read More
JOPLIN, Mo. — Joplin’s new dental school is still a year out from opening — but it’s already attracting attention and extra funding for future operations. It’s a grant – big bucks from the federal government aimed at improving dental … Read More
A San Diego dentist accused of performing substandard and unneeded dental work on children has apparently closed his practice. NBC 7 Investigates first reported about the state accusation filed against Dr. Khuong Nguyen in February. Several patients complained to the … Read More
The new academic year has kicked off, but several students have been on campus for most of the summer. From clinical outreach to scientific research, doctoral and dental hygiene students kept a full schedule. The Learning Enhancement for Achievement in … Read More
An OIG Fraud Detection Operation (FDO) focused on indicators for potential fraud, waste and abuse among durable medical equipment (DME) providers. DME includes products like shower/bath chairs, incontinence supplies, blood pressure monitors and enteral feeding supplies. The FDO selected four … Read More
(Reuters) – A county-managed health plan and three health care providers in Ventura County, California, have agreed to pay a total of $70.7 million to the state and the federal government to settle claims that they overbilled the state’s Medicaid … 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
A 59-year-old Houston woman has been sent to federal prison following her conviction of committing and conspiracy to commit health care fraud, announced U.S. Attorney Jennifer B. Lowery. Naomi Moore pleaded guilty April 7. Today, U.S. District Judge Charles Eskridge … Read More
One tool managed care organizations (MCOs) use to reduce fraud, waste and abuse (FWA) is a team of in-house investigators known as the special investigative units (SIUs). This team reviews all services provided under an MCO’s contract with Texas Medicaid. … Read More
Healthcare providers in New York want more due process protections when they are audited by the state’s Office of the Medicaid Inspector General, Spectrum News 1 reported Aug. 18. Dozens of healthcare and advocacy groups accused the office of using … Read More
Ideally, Scenic Bluffs Community Health Center would employ 13 full-time dentists. But right now, with only two full-time and three part-time dentists, the center is straining to fill surging demand. “At this point in time, we, like many other health … Read More
The state’s victory this year in finally getting lawmaker approval to provide nearly 85,000 adults on Medicaid basic dental benefits will be short-lived if it can’t find more dentists like Chris and Derek Blackwelder. The two are among the approximately … Read More
Over the next few weeks, the CUPHD Child and Teen Dental Clinic will be visiting Unit 4 and District 116 schools to provide free dental exams, cleanings, fluoride treatments, and dental sealants to students who need them. Students who are … Read More
Volunteer dentists and doctors are expanding their mobile services to underserved areas in the Willamette Valley. Two medical agencies — Kaiser Permanente Northwest and Medical Teams International — are partnering to provide mobile clinics in six Oregon counties and parts … Read More
Aug. 11—Kansas City University has been awarded a grant of nearly $1.5 million to improve the oral health of underserved and rural communities through its new College of Dental Medicine in Joplin. The grant is from the Health Resources and … Read More
A Georgia nurse is facing just over seven years in prison and $1.6 million in restitution after prosecutors said she falsified medical records in a Medicare fraud scheme that targeted older adults. With the help of co-conspirators, court documents show, … Read More
“Our Medicaid Fraud Division works diligently to uphold the integrity of Georgia’s Medicaid program and protect taxpayer dollars no matter the amount,” said Carr. “This includes pursuing providers who violate the public’s trust by abusing a system meant to care … Read More
Agency Working to Develop Innovative Strategies to Prevent Fraud AUSTIN – The U.S. Department of Agriculture (USDA) has awarded the Texas Health and Human Services Commission (HHSC) a federal grant of more than $400,000 to further the agency’s fraud prevention … Read More
The fallout from a 2021 Federal investigation into Spring Hill-based Crestar Labs is continuing with a new 40-count second superseding indictment that has charged eight people in a Medicare and Medicaid fraud conspiracy across six states. As previously reported, the … Read More
Stephanie Pagliuca used to joke that she would retire once New Hampshire got a dental residency program, but now, she’s finally getting her wish. “It turns out I’m not ready to retire yet,” said Pagliuca, who does workforce development for … Read More
For Alayna Schoblaske, D.M.D., a dentist in a federally qualified health center in Medford, Oregon, there’s been a lot to love with spending her first four years as a dentist working in public health. “I love our mission. I love … Read More
WILMINGTON, N.C. — Dr. Henry Patel was a healthy man before getting a dental implant in July of 2020, his wife said. He was a prominent doctor in Wilmington, and went to his dentist for a routine procedure. Oral surgeon … Read More
Date: Wednesday, August 23, 2022 Time: 7:00 PM EDT / 6:00 PM CDT / 4:00 PM PDT / 11:00 PM GMT Sponsor: United Credit Duration: 1 Hour Register Today! Branding is an important process of developing an ideal patient pool … Read More
We like to think that we can trust our medical providers, especially dentists since they are right in our mouths with various nefarious-looking instruments. But sometimes blind trust can create trouble. When I moved to Florida in June 2020, I … Read More
NASHVILLE – A federal grand jury in Nashville on Monday returned a 40-count second superseding indictment, charging eight people in a Medicare and Medicaid fraud conspiracy, announced U.S. Attorney Mark H. Wildasin for the Middle District of Tennessee. The indictment … Read More
A Texas pharmacy owner was indicted in a Georgia grand jury on Thursday, August 4, for a drug price scheme where he generated $10 million through unnecessary, expensive prescriptions he obtained through bribes. The Boerne man, Lucky S. Ott Jr., … Read More
A Miami doctor was sentenced Tuesday to five years in federal prison after admitting he filed around $38 million in fraudulent claims to health insurance companies for prescriptions that patients didn’t need or receive. Armando Valdes was ordered to forfeit … Read More
A jury has ordered Eli Lilly (NYSE:LLY) to pay $61M in a whistleblower case that accused the drugmaker of making false claims about pricing under Medicaid’s drug pricing program, Bloomberg reported. The suit was filed in 2014 by whistleblower Ronald … Read More
MADISON, Wis. (WMTV) – A Madison dental practice plans to take a day next month and offer free care for people who need it. Four Lakes Family Dental will welcome patients on Saturday, September 10, to offer a wide range … Read More
BUFFALO, N.Y. (WKBW) — The U.S. Attorney’s Office announced Elderwood has agreed to pay $950,000 to resolve allegations of fraudulently billing for Medicare and Medicaid. According to Assistant U.S. Attorney David M. Coriell, between August 1, 2013, and December 31, … Read More
HOUSTON – Two Houston area men are charged in a nationwide pharmacy health care fraud scheme that targeted elderly citizens, U.S. Attorney Jennifer B. Lowery announced Tuesday. Mohamed Mokbel, 57, and Fathy Elsafty, 63, are charged with one count of … Read More
PENSACOLA, Fla. (WEAR) — Pensacola dentist Dr. Charles Stamitoles was arrested again Friday for the fourth time in a little over two months. Stamitoles, 65, was arrested and booked into the Escambia County Jail Friday on a charge of battery. … Read More
TYLER – Jeffrey Paul Madison, former CEO of Little River Healthcare, was among 21 people recently charged in connection to alleged medical fraud schemes worth $1.2 billion. Thirty-six defendants are facing criminal charges in 13 federal districts in the United … Read More
Some West Baltimore middle school students got to learn about the career of dentistry on Thursday. Source: Planet Smiles Camp helps children enter the field of dentistry / yahoo! news
3D printing, robotics, artificial intelligence, and other modern technologies are generating a massive boom within the dental and healthcare industries. When appropriately integrated with your new-office design, cutting-edge technology provides greater precision, repeatable success, and increased productivity within an office. … Read More
The American Dental Association recently began notifying state regulators that the “cybersecurity incident” it reported in April was actually a ransomware attack, which led to the theft of member data. On April 23, ADA first reported to its members that … Read More
On July 20, 2022, the US Department of Health and Human Services Office of Inspector General (OIG) issued a Special Fraud Alert (Alert) concerning the fraud and abuse risks associated with healthcare practitioners entering into arrangements with telemedicine companies. The … Read More
As the number of third-party payers rolling out provider rating programs increase, the ADA Council on Dental Benefit Programs is advising dentists to be proactive about speaking up when they believe the ratings don’t accurately measure the quality of care … Read More
CHARLOTTE, N.C. – A Georgia man was sentenced to prison for participating in a scheme that defrauded the Medicaid programs in North Carolina, South Carolina and Georgia of more than $5 million, announced Dena J. King, U.S. Attorney for the … Read More
JACKSONVILLE, Fla. — A Jacksonville self-employed care provider has been arrested for allegedly submitting more than $11,000 worth of fraudulent claims to the Agency for Persons with Disabilities, including billing for hours not worked. Attorney General Ashley Moody’s Medicaid Fraud … Read More
