There’s growing recognition, even among states that provide limited Medicaid benefits, that poor oral health contributes to a broad range of chronic problems, from depression and diabetes to unemployment. “If you don’t have a good smile, you oftentimes don’t have … Read More
For the first settlement as part of the Department of Justice’s Civil Cyber-Fraud Initiative, DOJ settled a case against medical services government contractor Comprehensive Health Services, LLC (CHS) for $930,000. This settlement resolves allegations brought forth in two qui tam … Read More
WASHINGTON, D.C. — A federal jury convicted a New Jersey rheumatologist this week for defrauding Medicare and other health insurance programs by billing for services that patients never received. According to court documents and evidence presented at trial, Alice Chu, … Read More
A dozen doctors are among 16 people in Michigan and Ohio sentenced to prison for a health care fraud that included the distribution of 6.6 million opioid doses and $250 million in false billings. A multi-state network of pain clinics … Read More
BOSTON, March 7, 2022 /PRNewswire/ — The Whistleblower Law Collaborative LLC is pleased to announce that the United States, individual states, the District of Columbia, and Puerto Rico have settled a False Claims Act case brought by its client James … Read More
National Children’s Dental Health Month received a shout out from Congress during the House of Representatives’ pro forma session on Feb. 25. During the session, Rep. Mike Simpson, R-Idaho, thanked the ADA for sponsoring children’s dental health during the month … Read More
(Reuters) – A federal appeals court on Wednesday affirmed that overbilling Medicaid for services to a patient is not just healthcare fraud, but “aggravated identity theft” under a separate statute that includes a mandatory two-year sentence enhancement. The full 5th … Read More
Western University of Health Sciences’ College of Dental Medicine (CDM) received a $25,000 donation from DentaQuest to support third and fourth-year students completing externships focused on care for vulnerable populations. One of the nation’s largest and most experienced Medicaid dental … Read More
After a hard-fought seven-day trial, a Mayer Brown team, working with Quinn Emanuel as co-counsel, secured a major victory in Conduent State Healthcare, LLC, et al. v. AIG Specialty Insurance Company, et al. on behalf of two member companies of … Read More
A Tennessee physician and his wife were convicted in a scheme that involved billing health insurance companies for more than $50 million in fraudulent or medically unnecessary services, the Justice Department said March 2. Mark Murphy, MD, and Jennifer Murphy … Read More
he owner of a Twin Cities acupuncture service faces more than a dozen felonies for her alleged role in a Medicaid billing scheme that over the course of four years netted more than $1.75 million in fraudulent payments. A two-year … Read More
The Florida Dental Association is having a good Session. Lawmakers have agreed to spend $1.773 million for the dental loan repayment program and an initiative called Florida’s Donated Dental Services, which is $1 million more than what the organization originally … Read More
he ADA Health Policy Institute is inviting Association members to a free interactive webinar covering the shifting trends on the dental workforce based on the HPI’s latest key findings and data. The webinar, The Changing Dentist Workforce — See the … Read More
Dallas-based Steward Health Care will face a class-action lawsuit alleging that the system overbilled patients or demanded payments from third parties not responsible for the bills, a federal court ruled Feb. 25. The U.S. District Court for the Eastern District … Read More
Governor Greg Abbott on Wednesday announced the Texas Health and Human Services Commission (HHSC) is providing more than $310 million in emergency Supplemental Nutrition Assistance Program (SNAP) food benefits for the month of March. The allotments are expected to help … Read More
Reuters) – A federal judge in Chicago on Monday rejected Eli Lilly’s bid to end a whistleblower lawsuit that accused the drug manufacturer of shortchanging the Medicaid Rebate Program between 2005 and 2016. U.S. District Judge Harry Leinenweber denied Lilly’s … Read More
en Florida residents were charged in an indictment unsealed in the Southern District of Florida for their alleged roles in a $67 million health care fraud, wire fraud, kickback, and money laundering scheme involving the submission of false and fraudulent … Read More
A former medical supply company owner in Virginia Beach, Va., has been sentenced to 51 months in prison in connection with a multimillion dollar healthcare fraud scheme, the U.S. Justice Department said Feb. 24. Frank Alosa, 49, of Kentucky, and … Read More
A federal judge in Texas has ruled in favor of the Texas Medical Association (TMA) in a surprise billing lawsuit, affirming that sections of the HHS interim final rule on surprise billing violate the policies presented by Congress in the … Read More
Mt. Pleasant S.C. (WCIV) — Pleasant Family Dentistry will be hosting its “Day of Smiles Event” on March 19. The dentist’s office will be offering free dental services for all people over 12 years old who are uninsured or underinsured. … Read More
The OIG conducted an audit of Medicaid claims submitted by managed care organization Cook Children’s Home Health from September 1, 2018 through August 31, 2020. The provider was reimbursed $13.6 million for durable medical equipment and supplies distributed to more … Read More
Nearly two years into the pandemic with widespread availability of COVID-19 vaccines and a decrease in infections, new studies reveal dental hygienists have low COVID-19 infection rates and high vaccination acceptance. In addition, less than half of dental hygienists that … Read More
WICHITA FALLS, Texas (KAUZ) – February is Children’s Health Month for dental health and MSU Texas is participating by having their annual Give Kids a Smile Day. Dental hygiene students at MSU Texas performed the cleanings under the supervision of … Read More
he percent of dentists diagnosed with anxiety more than tripled in 2021 compared to 2003, according to the ADA’s newly released 2021 Dentist Health and Well-Being Survey Report, spurring the ADA and ADA Council on Dental Practice to take action … Read More
LEXINGTON, Ky. (LEX 18) — A multi-million dollar Medicaid fraud investigation has led to a federal indictment. Two people were arrested and charged for their role in the North Carolina scheme. Donald Booker, of Charlotte, and Delores Jordan, of Kentucky, … Read More
A lawyer who partly owned two South Florida addiction treatment centers and a patient recruiter who worked for him pleaded guilty Wednesday to healthcare-related criminal charges, joining a physician who admitted guilt earlier in the week in a $112 million … Read More
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
