A federal jury in San Antonio, Texas, this morning found in favor of three whistleblowers represented by Burlingame-based Cotchett, Pitre & McCarthy, LLP (“CPM”), in a case brought under the False Claims Act. The jury entered a verdict that will … Read More
WICHITA FALLS (KFDX/KJTL) — If you have a child between the ages of five and 12, you can get their teeth cleaned free of charge and help train local dental hygiene students at the same time. The Gaines Dental Hygiene … Read More
CHARLOTTE — Two people are facing federal charges for their part in a massive healthcare fraud and kickback scheme. A federal indictment filed Tuesday lists Donald Booker, of Charlotte, and Delores Jordan, of Louisville, Kentucky, as co-conspirators who devised a … Read More
WILLIAMSON COUNTY – A joint investigation by special agents with the Medicaid Fraud Control Division of the Tennessee Bureau of Investigation and other law enforcement agencies has resulted in the arrest of a former addiction recovery clinic owner. In September … Read More
AUSTIN — St. David’s HealthCare, which provides care for more Central Texans than any other healthcare system, announced today the investment of $953 million in the region’s healthcare infrastructure. “St. David’s HealthCare is committed to meeting the needs of our … Read More
LAREDO, TX. (KGNS) -Two Laredo doctors are among a list of ten people indicted for their alleged involvement in a 300-million-dollar health care fraud scheme. The 26-count indictment from the U.S. Attorney’s Office Northern District of Texas accuses the people … Read More
The question of whether or not those on Medicaid can get braces depends on their age, where they live, and medical necessity. In all fifty states Medicaid does cover braces if they are considered “medically necessary.” But what does this mean exactly? In … Read More
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
Save the date for three meetings in one when SmileCon 2022 lands in Houston this October at the George R. Brown Convention Center. The American Dental Association’s annual meeting will come together Oct. 13-15 with the Texas Dental Association Meeting … Read More
MIAMI – Bradley Jason Kantor, who owned and operated Mobile Diagnostic Imaging, Inc. (MDI) in Davie, was sentenced in Miami Wednesday to 10 years in federal prison for submitting about $42 million in fraudulent health care claims to United Healthcare. … Read More
BAY CITY, MI – A vascular surgeon from Bay City pleaded guilty today to participating in a scheme to defraud Medicare, Medicaid, and Blue Cross/Blue Shield out of approximately $19.5 million. Pleading guilty was Dr. Vasso Godiali, 59-years-old. According to … Read More
FORT LAUDERDALE — Dr. Mark Agresti, who claimed he devoted his 30-year career to helping people struggling with addiction, on Thursday was convicted of 12 charges of health care fraud for using his clients to perpetuate a $31.3 million insurance … Read More
The Gaines Dental Hygiene Clinic at Midwestern State University will host “Give Kids a Smile Day” beginning at 8 a.m. Monday, Feb. 21, and continuing through Tuesday, Feb. 22. For those two days, all services are free of charge for … Read More
A former University of Louisville football standout and retired NFL linebacker was ordered by a Lexington judge to spend five years in prison after he orchestrated a fraud scheme which took millions of dollars from an NFL health care account. … Read More
MINNETONKA, Minn.: UnitedHealthcare Dental has introduced several enhancements designed to help people improve their oral health and access dental care in a more convenient and informed way, with the aim of helping lower costs and improve satisfaction among members and … Read More
QUINCY, MA — A Quincy woman who owns a substance use treatment center was arraigned on charges in connection to a fraud scheme in which she billed public and private insurances for services that were never given to patients. Nicole … Read More
The OIG Benefits Program Integrity team worked with the Social Security Administration to resolve a Smith County case involving a client who failed to report several properties she owned when filing Medicaid and Supplemental Security Income applications for her child. … Read More
HCA Healthcare currently operates more than 1,800 health care facilities in 21 states and is continuing to expand, acquiring both smaller and larger health systems. Its focus is on expanding its roster of physicians as well as outpatient network. HCA … Read More
A federal judge sentenced two physicians in the Novus Healthcare Services hospice fraud case to 23 years and prison and ordered them to pay more than $44 million in restitution. A nurse who was also part of the $40 million … Read More
ust before assaulting the U.S. Capitol on January 6, 2021, rioters attending the Trump rally near the White House heard these stirring words: “What we have in President Trump is a fighter. We will not quit fighting. We’re Texans, we’re … Read More
PHOENIX (3TV/CBS 5) — Dental implants are marketed with the promise to change your smile and provide a new sense of self-confidence, but as implants surge in popularity, so do injuries. Last year alone, reports of problems with dental implants … Read More
CHARLOTTE — Members of the North Carolina State Board of Dental Examiners are weighing proposed changes to rules surrounding anesthesia during dental procedures. n a public hearing Thursday, the North Carolina State Board of Dental Examiners heard arguments on both … Read More
A former Wilkinsburg doctor avoided prison Friday when a federal judge sentenced him to probation for prescribing oxycodone to a doctor-shopping patient for no medical reason and ripping off Medicare. U.S. District Judge Nora Barry Fischer imposed a probation term … Read More
RANSTON, R.I. (WJAR) — A Cranston-based dentist is taking Rhode Island state officials to court, saying their actions barring him from caring for his patients are unconstitutional. Dr. Stephen Skoly, an oral and maxillofacial surgeon, last practiced on Oct. 1, … Read More
A trio of “self-taught” dentists in Texas have been treating patients out of a filthy Houston office over the past year, lacking any formal training other than having once worked at a dental lab, police allege. According to court documents, … Read More
HOUSTON, Texas (KTRK) — A father and son have been arrested and charged with practicing dentistry without a license in an office in northwest Houston. Byron Alberto Zelaya, 58, and his son, 31-year-old Bryant Jesus Zelaya, are charged with felony … Read More
WAYNESVILLE, Mo. (AP) — A Missouri residential treatment facility for children has agreed to pay a $500,000 settlement for submitting false Medicaid claims, the Missouri Attorney General’s office said Wednesday. Piney Ridge Center, in Waynesville, entered a civil settlement in … Read More
HHS is making $19.2 million available to support and expand training of primary care physician and dental residents in rural and underserved areas. The American Rescue Plan funding will support the equivalent of about 120 full-time resident positions, the department … Read More
New reports are finding that visiting a “dental fear clinic” can help children who are afraid of the dentist. Fear of the dentist is something that is very common among adults and youth, and it can have some devastating results. … Read More
On Thursday, January 13, 2022, the Supreme Court of the United States issued its opinions in each of the Centers for Medicare and Medicaid Services (CMS) and Occupational Safety and Health Administration (OSHA) vaccination requirement cases in Biden v. Missouri … Read More
Indiana Attorney General Todd Rokita took a state-paid trip to the U.S-Mexican border last week and attended a Donald Trump rally along the way. Rokita’s office confirmed the trip was being paid for with official funds and that he drove, … Read More
Just before assaulting the U.S. Capitol on January 6, 2021, rioters attending the Trump rally near the White House heard these stirring words: “What we have in President Trump is a fighter. We will not quit fighting. We’re Texans, we’re … Read More
MILWAUKEE (CBS 58) — The Health Mart Independent Pharmacy of the year, Hayat Pharmacy, has settled out of court over allegations of Medicare and Medicaid fraud for over $2 million. Hashim Zaibak, Hayat pharmacist and CEO of the company, said … Read More
Boston, MA, Jan. 27, 2022 (GLOBE NEWSWIRE) — DentaQuest, the leading oral health care company managing dental and vision benefits for more than 33 million Americans, has received a score of 95 out of 100 on the Human Rights Campaign … Read More
CHICAGO — A Tinley Park Chicago dentist fraudulently obtained $1.2 million in medical care loans for purported dental work that was never performed, according to a federal fraud charge. Michael D. Egan, 58, of Orland Park, Ill., is charged with … Read More
The Texas House Democratic Caucus (HDC) has thrown in the towel on a stand-off between the State of Texas and the Biden administration over a Medicaid program. Back in April last year, the Centers for Medicare & Medicaid Services (CMS) … Read More
January 27, 2022 The OIG’s Provider Investigations unit (PI) completed 451 preliminary investigations and 35 full-scale investigations in the first quarter of fiscal year 2022. PI investigates and reviews allegations of fraud, waste and abuse involving Medicaid providers. Based on … Read More
WYOMING COUNTY, N.Y. (WHEC) — A Wyoming County optician was convicted of Medicaid fraud for submitting false claims for services he never provided—some of which were for people who had already passed away. Thomas Foote, 59, was arrested and charged … Read More
BOLTON, Miss. (WLBT) – A federal judge sentenced a Mississippi pharmacist to five years in prison for a multimillion-dollar scheme to defraud TRICARE and private insurance companies. David “Jason” Rutland, 42, of Bolton, pleaded guilty to getting paid kickbacks to … Read More
According to the report, the state investigated 3,682 cases of potential fraud in Fiscal Year 2020-21. Florida recovered more than $22 million in civil and criminal penalties stemming from Medicaid fraud and abuse in Fiscal Year 2020-21. The state also … Read More
