Dansville doctor settles federal fraud allegations
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BUFFALO – A Dansville physician has agreed to pay more than $600,000 to resolve allegations that during a five-year period he fraudulently billed Medicare and Medicaid, according to the U.S. Attorney for the Western District of New York. Dr. James … Read More

Dental scams take a bite out of consumers’ wallets
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BURLINGTON, Vt. (WCAX) – Scammers are targeting your teeth. The Better Business Bureau reports it has seen an uptick in reports of fraud surrounding common cosmetic procedures like teeth whitening, Invisalign, veneers and other treatments. The BBB says often people … Read More

OIG Sending Out Letters Seeking Informal Resolution
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TDMR has learned that a number of Medicaid dentists around the state have been receiving informal letters from the Office of Inspector General about their billings. Avoid formal process Apparently, OIG is looking to resolve billing situations informally rather than … Read More

Six Individuals, Six Companies, Indicted For Medicare Fraud
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BOSTON – A statewide grand jury has indicted Four independent clinical laboratories, two laboratory marketing companies in connection with over $2 million in false Medicare claims to Massachusetts, according to Attorney General Maura Healey’s office. The indicted defendants are: Vipin … Read More

Dental Industry Whistleblowers: Risks and Rewards
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Citizens may file whistleblower complaints or qui tam actions against violators (persons or companies) through a variety of mechanisms. The two most common mechanisms for complaint filing in the dental industry are workers via the US Department of Labor especially … Read More

Sun Life completes acquisition of DentaQuest
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PRESS RELEASE  BY Sun Life Financial Inc.  Jun 01, 2022, 08:27 ET BOSTON and WELLESLEY, Mass., TORONTO, June 1, 2022 /PRNewswire/ – Sun Life Financial Inc. (TSX: SLF) (NYSE: SLF), through its U.S. business, announced today the completion of its acquisition of DentaQuest, the second-largest dental benefits provider … Read More

7 People Sentenced in Telemedicine Pharmacy Fraud Scheme
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A federal judge in Greeneville, Tennessee, sentenced seven people and seven related corporate entities for deceiving pharmacy benefit managers (PBMs) regarding tens of thousands of prescriptions. The scheme involved using telemedicine to authorize prescriptions and gain insurance information. The leader … Read More

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