Stacey English has modest desires for her 7-year-old daughter Addison: Be able to eat without gagging and move both her arms. But since Addison’s occupational therapist went out of business this winter, the child with a rare genetic disorder has regressed in … Read More
Hospitals, doctors and nursing homes have one last chance to shape a Republican bill to repeal and replace Obamacare they say will hurt millions of old, poor and sick Americans — and their own bottom lines. After being on the … Read More
WHITE PLAINS – A registered nurse from Yonkers was arrested and indicted Monday for allegedly submitting more than $390,000 in claims for services to two severely disabled patients that he did not provide. Attorney General Eric Schneiderman says over the course … Read More
Texas rejected billions in federal aid to expand Medicaid under the Affordable Care Act, calling the program “broken.” But now it’s asking the Trump administration to renew a deal that’s brought the state an additional $6.2 billion a year under … Read More
A Guysville woman pleaded guilty Thursday in U.S. District Court to health-care fraud and willful failure to pay over-tax, according to a news release from the office of Benjamin C. Glassman, U.S. Attorney for the Southern District of Ohio. Cheryl … Read More
The day after the Senate’s draft health bill was released, supporters looked to defend a key component of the bill: cuts to Medicaid. Republican lawmakers will need to answer to its beneficiaries, who’ve grown dependent on this program for coverage. … Read More
Insurance companies are a powerful voice in virtually any congressional debate over health care. In the case of the Senate health-care bill, some insurers didn’t even wait for the official release before expressing their concerns. This week, the heads of … Read More
WASHINGTON (NBC) – Capitol Hill police arrested 43 disability rights activists who staged a protest outside of Senator Mitch McConnell’s office. Protestors filled the hallway in the Russell Senate office building. The sit-in was organized by the Arc, which advocates … Read More
Article originally written May 30, 2017 by Tony Edwards, DrBicuspid.com Editor in Chief May 30, 2017 — Almost 7% of dentists in the U.S. are associated with dental service/support organizations (DSOs), according to a recent ADA Health Policy Institute report. … Read More
AUSTIN (KXAN) — Roosevelt Granderson II, an Austin police officer, was arrested early Wednesday morning at Austin-Bergstrom International Airport on charges connected to a scheme to collect more than $258,000 in benefits that he, his wife and mother-in-law were not … Read More
The Senate’s health care bill would result in many disturbing consequences, including an estimated 23 million people losing their health insurance coverage by 2026 and increased premiums and other out-of-pocket costs. An estimated more than 2.5 million Texas would lose … Read More
Originally published June 16, 2017 By Theresa Pablos, DrBicuspid.com associate editor June 16, 2017 — Patients appear dissatisfied with the dental service/support organization (DSO) experience, according to the results from a new survey. Those who received services from DSOs ranked their customer experience … Read More
As Republicans debate health care reform, there is one issue on the mind of many Texas families: Medicaid reform. Despite years of sleepless nights, emergency room trips and long stares into the financial abyss, Kate Robinson-Howell and Bob Howell of … Read More
A Fifth Circuit panel on Monday affirmed a lower court’s decision that it is unconstitutional to prevent dentists from advertising as specialists in areas not recognized as specialties by the American Dental Association, saying the advertising is protected by the … Read More
The owner of a home health agency in Dallas has been sentenced to 17 years in prison for his role in the nation’s largest home health care fraud scheme in history—a nearly $400 million scam, the Justice Department announced Tuesday. … Read More
Senate Republicans may provide higher federal funding to states with low Medicaid costs in their health care bill. The proposal under consideration gets to the heart of a key sticking point in the ongoing GOP discussions to overhaul the U.S. … Read More
HARTFORD, Conn. (Legal Newsline) — Connecticut Attorney General George Jepsen announced June 6 that a Stamford-based dentist, Georgy Betser, his wife, Irina Betser, and their companies will forfeit $755,956.30 and be excluded from participation in the state’s Medicaid program for … Read More
The owner of a Dallas-based home health care services company was sentenced to 17 and a half years in prison for his role in a health care fraud conspiracy. Wilbert James Veasey Jr., the owner of Apple of Your Eye … Read More
What does it take to become a priority in the Texas Legislature? As someone who provides nursing home care for the state’s frail and elderly, I often wonder why my residents and their caregivers never seems to be a priority … Read More
A purchasing official for Child Protective Services has resigned after a state investigation concluded she had a conflict interest when her husband took a job with a nonprofit that had multimillion-dollar contracts with the state. Patrick Crimmins, spokesman for the … Read More
Federal Medicaid dollars are spent by the states. The Health and Human Services Department requires states to have Medicaid Fraud Control Units that hunt for theft or patient abuse. And they do get results. Richard Stern is the director of … Read More
MCALLEN (KFXV) — In federal court, five others were charged for a health care fraud scheme they orchestrated. According to court documents, 41-year-old, Maria Teresa Paz Garza received a 144-month sentence for committing health care fraud, and aggravated identity theft … Read More
BOISE — A Fruitland woman will serve five years in prison for her role in health-care fraud and aggravated identity theft. Cherie R. Dillon, 62, of Fruitland, was sentenced Wednesday to five years in prison to be followed by three … Read More
Two former Southwest Utah Public Health Department officers have been charged with conspiring to file false Medicaid claims with the Utah state government following a months-long investigation into the agency’s financial practices. Todd Alan Stirling, 51, and Russell Ammon Hinton, … Read More
(Mankato, MN) – A 51-year-old Mankato woman who ran a massive Medicaid scam has been sentenced to one year in jail, which she can serve on work release. Rebecca Swanson was also ordered to pay restitution of around $600,000 and … Read More
Citing “a clear and immediate danger” to public health and safety, the Alaska Board of Dental Examiners suspended Anchorage dentist Seth Lookhart’s license on Thursday while an investigation continues into his patient care. Online records show that Lookhart’s license to … Read More
EpiPen has been in the news ever since last year’s outcry over the discovery that its maker, Mylan, hiked the price 550% for the auto-injected emergency allergy treatment. The list price for an EpiPen two-pack is $609. The device and … Read More
A College Station woman has been indicted by a Brazos County grand jury after authorities say she fraudulently collected several thousand dollars in Medicaid and SNAP food benefits. According to a grand jury indictment, Kendra Alisa Sterling, 28, was arrested … Read More
WASHINGTON — President Donald Trump pledged on the campaign trail to leave Medicaid untouched. But in his first major budget proposal, the president has laid out a plan to reduce Medicaid spending by more than $600 billion over the next … Read More
Almost 7% of dentists in the U.S. are associated with dental service/support organizations (DSOs), according to a recent ADA Health Policy Institute report. However, there’s no readily available list of which are the largest of these DSOs. DrBicuspid.com presents our … Read More
President Trump’s recent 2018 budget proposal, which includes roughly $800 billion in cuts to Medicaid over the next decade, has led to howls of outrage from Democrats. Senate Minority Leader Chuck Schumer, D-N.Y., said last week that the cuts would “carry … Read More
Wisconsin is preparing to recast its Medicaid program in ways that no state has ever done, requiring low-income adults to undergo drug screening to qualify for health coverage and setting time limits on assistance unless they work or train for … Read More
Austin: For the second session in a row, lawmakers largely ignored Gov. Greg Abbott’s emergency call for ethics reform. After a modest reform package cleared the Senate early in the session (SB 14), lawmakers splintered it into six separate bills … Read More
SAVANNAH, GA – Barbara Wallace, 52, of Savannah, Georgia, was sentenced by Senior United States District William T. Moore, Jr. yesterday to 41 months in prison for her role in a scheme to defraud Medicaid. Judge Moore also ordered Wallace … Read More
Virginia has not adequately secured its Medicaid data and information systems, according to an HHS Office of Inspector General report.The Virginia Department of Medical Assistance Services, which manages the state’s Medicaid program, uses an outside contractor to operate its claims … Read More
President Trump has long promised not to cut Medicaid, Medicare and Social Security. But in his budget released on Tuesday, he proposes making massive cuts to Medicaid. Mr. Trump is proposing to cut $610 billion from Medicaid benefits. This could … Read More
Each year the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) releases its annual Medicaid Fraud Compliance Performance Report. There is much to learn from this compendium of information provided by 50 Medicaid Fraud … Read More
A Lincoln woman is accused of stealing more than $9,000 in payroll from Medicaid by allegedly lying about the amount of time she worked with two patients.The Nebraska Medicaid Fraud and Patient Abuse Unit received information in January 2016 that … Read More
ASHLAND, Ky. (AP) — Before Barack Obama’s health care law, about 17 percent of patients in the King’s Daughters Health System were paid for by the government-run Medicaid program. Today, after the law added 400,000 people to Kentucky’s rolls, Medicaid … Read More
A Poughkeepsie woman was sentenced to five years of probation and paid $113,584 in restitution in connection with charges that she filed timesheets for Medicaid services that were never provided.In February, Tina Gabel, 59, pleaded guilty to third-degree grand larceny, … Read More
