The scheme was simple enough. The labs would pay Dr. Eduardo Canova, Dr. Jose Maldonado and nurse practitioner Keith Wichinski. Then the medical professionals would order an unneeded laboratory test from one of the labs. Later, they’d bill the cost … Read More
WASHINGTON, D.C. — A federal jury convicted a Texas husband and wife this week for a $1 million Medicare fraud scheme, including violations of the federal Anti-Kickback Statute. According to court documents and evidence presented at trial, Lindell King, 52, … Read More
The Texas State Board of Dental Examiners (TSBDE) is pleased to announce that we are hosting a Licensing Expo June 6th & 7th for onsite application processing for dental and dental hygiene graduates! This event allows recent graduates the opportunity … Read More
Two men serving prison sentences for health care fraud have been charged once again in federal court. On Thursday, criminal complaints were filed against Rodney Mesquias, 51, and Henry McInnis, 51, in the U.S. District Court for the Southern District … Read More
CLARKSVILLE, Tenn. (WTVF) — An investigation by special agents with the Medicaid Fraud Control Division of the Tennessee Bureau of Investigation has resulted in the arrest of a caregiver in Clarksville. In September 2021, after receiving information from the Division … Read More
BayCare has agreed to pay a $20 million settlement to the federal government to resolve allegations that it violated federal law to boost its share of Medicaid funding. The Tampa Bay hospital chain made donations to the Juvenile Welfare Board … Read More
A New Research on the Dental Practice Software Market was conducted across a variety of industries in various regions to produce more than 250+ page reports. This study is a perfect blend of qualitative and quantifiable information highlighting key market … Read More
ATLANTA — Attorney General Chris Carr announced that the office’s Medicaid Fraud Division has obtained civil recoveries totaling more than $68 million since November 2016. Over this same time period, the Attorney General’s Medicaid Fraud Division has prosecuted more than … Read More
HIDALGO COUNTY, Texas (ValleyCentral) — A doctor convicted of falsely diagnosing patients with diseases to increase his revenue will soon be sentenced for his crimes. A U.S. District Court judge scheduled the sentencing for Jorge Zamora-Quezada, 65, for May 18. … Read More
After months of few developments, a federal judge set a date for the sentencing of Dr. Jorge Zamora Quezada, a rheumatologist convicted of healthcare fraud in January 2020. The former physician is scheduled to be sentenced on April 28, though … Read More
A federal jury has convicted a Mississippi doctor of referring and certifying patients to hospice care who were not terminally ill and didn’t know what sort of treatment they would be getting. Dr. Scott Nelson, of Cleveland, was found guilty … Read More
he federal government doled out nearly $100 billion in what it calls “improper” Medicaid payments in 2021 — accounting for approximately one-fifth of all Medicaid payments, according to estimates. The figure represents Washington’s latest accounting of payments that didn’t meet … Read More
A Middletown Township man pleaded guilty in what federal prosecutors called a “massive compounded-medication kickback scheme.” On Tuesday, Robert Schneiderman, 79, pleaded guilty two counts of an indictment charging him with one count of conspiracy to commit health care fraud … Read More
No well-intentioned dentist wants to commit fraud, and worse yet, wants to serve time. As the chief dental consultant for a national insurance company for many years, Dr. Paul Bornstein worked with hundreds of dentists who had no idea they … Read More
Compassionate Homecare Inc., has agreed to pay $6.53 million to MassHealth in order to resolve allegations of unauthorized billing for services. The settlement irons out a 2018 lawsuit filed by the Attorney General’s office against Compassionate. The state’s lawsuit alleges … Read More
LAS VEGAS (KLAS) — Nevada has joined a multistate $16M dollar settlement due to allegations of Medicaid fraud. The settlement names MD Spine Solutions LLC, MD Labs Inc. as the party involved. The allegations in the settlement case state that … Read More
Texas got some breathing room when the federal government decided last week to continue sending Medicaid money for health care for some of the state’s residents without private insurance. But it’s not a permanent fix, and the state still has … Read More
OGDEN, Utah (ABC4) – A Utah dentist has been convicted of tax-related fraud and crimes on Monday. A federal grand jury found Derald Wilford Geddes guilty of evading millions in back income taxes. Geddes owned and operated Mount Ogden Dental … Read More
Boston, MA, March 29, 2022 (GLOBE NEWSWIRE) — The National Commission on Disability (NCD) recently issued a report titled “Medicaid Oral Health Coverage for Adults with Intellectual & Developmental Disabilities – A Fiscal Analysis” to President Biden. The report highlights … Read More
March 28, 2022 — Annual spending on dental care in the U.S. is projected to tick up over the next several years, ballooning to $230 billion by 2030, according to a briefing on March 28 from the Office of the … Read More
Since last year, Texas and Joe Biden’s White House have been in a Medicaid funding feud that has been costing Texas hospitals about $7 million a day. State and federal officials have imposed a deadline over the dogfight for this … Read More
Federal health officials on Friday restored $7 million a day in funding to Texas hospitals after stopping it six months ago over concerns about how the state pays for health care for uninsured Texans. Until last September, Texas had tapped … Read More
Ten additional Texas doctors – including one from Bells, Texas – and a healthcare executive have agreed to pay a total of $1,680,430 to resolve False Claims Act allegations involving illegal kickbacks in violation of the Anti-Kickback Statute and Stark … Read More
he owner and the CEO of a chain of Texas hospice and home-health centers defrauded Medicare out of $152 million by falsely certifying that all of their clients were either dying or too frail to go to a doctor’s office, … Read More
TYLER, Texas (AP) — A Texas man was arrested on a capital murder charge after fatally shooting two dentists at a clinic, authorities said. Steven Alexander Smith, 40, is accused of shooting the two people Wednesday afternoon at Affordable Dentures … Read More
Two brothers who operated a pair of South Florida addiction treatment facilities were sentenced to prison March 21 for a $112 million billing fraud scheme. Jonathan Markovich and Daniel Markovich were sentenced to 188 months and 97 months in prison, … Read More
OKLAHOMA CITY (KFOR) – A woman who operated behavioral health facilities in Oklahoma was ordered to pay hundreds of thousands of dollars for her role in a Medicaid fraud scheme. Janice Wrenn, who was formerly known as Janice Briggs, operated … Read More
A Dearborn Heights pharmacist was arrested March 22 for her alleged role in a $10.6 million insurance fraud ring. Federal authorities have charged Zeinab Makki, 59, with one count of health care fraud. According to the criminal complaint, Makki submitted … Read More
Texas has more uninsured people than any other state, whether you count in raw numbers (about 5.4 million) or in the uninsured percentage of the total population (18.4%). But it’s one of only a dozen states that hasn’t expanded its … Read More
A leading market research company, Astute Analytica, releases a new report on the Global Dental Insurance Market, forecast period for 2022-2027. This report discusses various aspects of the market and features its current trends. This report gives a detailed picture … Read More
When I look at the humanitarian crisis unfolding in Ukraine, like everyone I feel deep sadness for the millions of lives shattered by the conflict. From the safety of the UK, we can only imagine the suffering people are experiencing. … Read More
A Wisconsin dentist has been convicted of health care fraud after he purposely damaged his patients’ teeth so he could bill insurance companies for crown procedures. Scott Charmoli, 61, was also convicted of making false statements related to health care … Read More
Efforts by state Medicaid Fraud Control Units continued to face pandemic-related operational challenges in fiscal year 2021 but still managed to recover $1.7 billion, according to a new report. State MFCUs secured 13 criminal convictions related to patient abuse or … Read More
SPOKANE, Wash. — A Spokane medical provider is accused of stealing millions of dollars in state Medicaid funds. Investigators say Paul Means billed the state for treatment he never provided and for hours he never spent with patients. Means has … Read More
Dentists and individuals around the globe will unite on March 20 in honor of World Oral Health Day. World Oral Health Day is the largest global awareness campaign on oral health and was created by the FDI World Dental Federation. … Read More
Federal and Tennessee prosecutors adequately alleged that Walgreen Co. violated the False Claims Act by falsifying patient records in order to improperly receive millions of dollars worth of Hepatitis C medication payments from Medicaid, a Tennessee district court said. The … Read More
The Centers for Medicare & Medicaid is hosting a virtual webinar on March 21 on the No Surprises Act, also known as surprise billing, and its applicability to dental providers. CMS Chief Dental Officer Natalia Chalmers, D.D.S., Ph.D., will lead … Read More
JACKSON, Miss. (AP) — Mississippi’s Republican-led Senate will try to revive a proposal to let mothers keep Medicaid coverage for a year after giving birth, Lt. Gov. Delbert Hosemann said Monday. The state allows two months of postpartum coverage. Advocates … Read More
The federal health agency has until March 25 to rule on three proposed Medicaid payment programs in Texas or it could face sanctions, a district court ruled. The order from the U.S. District Court for Eastern District of Texas arose … Read More
Hartford County resident Cortney Dunlap, age 37, of Burlington, was sentenced on Friday, March 11, to 57 months in prison followed by three years of supervised release, according to Leonard Boyle, United States Attorney for the District of Connecticut. Dunlap … Read More
