MEDICAID DENTISTS: Please take our confidential and anonymous five-question survey about D1352. It is basically a simple Yes-No questionnaire. It … [Read more...]
Texas HHS-OIG Fraud and Abuse Prevention Advisory on Dental Services
Last month, TDMR reported on the Texas Health and Human Services Office of Inspector General Quarterly Report for the fourth quarter of 2019. A … [Read more...]
Texas HHS-OIG Audit Finds MCNA billed Medicaid $766,000 in unsupported consulting expenses and more
A recent audit done by Texas Health and Human Services Office of Inspector General found that dental maintenance organization MCNA had paid out … [Read more...]
Who Lobbied for UnitedHealthcare, MCNA and DentaQuest
For the sake of public disclosure, TDMR is providing the lists of lobbyists registered with the Texas Ethics Commission who lobbied in 2019 on behalf … [Read more...]
OIG Update & Quarterly Report – Dental Fraud Highlighted
TDMR received an email newsletter this week from HHS-OIG. They promoted their quarterly report and also a special downloadable publication for … [Read more...]
Who is UnitedHealthcare?
Part of UnitedHealthcare complex in Minnetonka, MN We thought Medicaid dentists might like to know something about UnitedHealthcare, the company … [Read more...]
HHS Finally Announces DMO Contract Awardees
Texas Health and Human Services has finally made an announcement about the award of DMO contracts for Texas Medicaid. The announcement was posted on … [Read more...]
OAG Opposes Disqualifying Late Relators in Xerox/Conduent Case
The story of Texas vs. Xerox/Conduent appears to be never-ending. Relators to get money? There is still the issue of qui tam relators and whether or … [Read more...]
UPDATE: Texas HHS: *Announcement Made* – Still No DMOs Chosen for New Medicaid Contract
UPDATE: As of October 15, HHS announced the three companies to be awarded this contract. UPDATE: September 27: We checked today. No awards … [Read more...]
Dental Compliance 101: Keeping Patient Information Confidential
By Samona France, Compliance Protection Specialist - Medicaid dentists have a hard job! Low hours and below-market reimbursement rates, coupled with … [Read more...]
Why States Aren’t Really Interested in Reducing Medicaid Fraud
The following is an article from Jeff Leston of Castlestone LLC . Castlestone provides fraud prevention solutions to governments and … [Read more...]
Xerox/Conduent Relators to Get Zip, Nada, Nothing; State Now Says
Back in February, the Texas Office of Attorney General and Xerox/Conduent settled the state's longstanding lawsuit against the company for $235.9 … [Read more...]
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