DentaQuest headquarters in Boston, MA UPDATE: We published this story back on September 12 last year about a provider quitting MCNA in disgust over a … [Read more...]
Texas HHS-OIG Issues Fraud and Abuse Prevention Advisory about Dental Marketing
Yesterday, HHS-OIG issued an update on its activities. Among other things, it had a link to a fraud and abuse prevention advisory about dental … [Read more...]
Former Xerox Employee Files Lawsuit Claiming to be Original Whistleblower in Xerox/Texas Medicaid Fraud Case
Just when you thought the dust (and legal matters) had settled, a new wrinkle has developed in the Xerox/Conduent $2 billion Medicaid fraud case that … [Read more...]
Texas Health & Human Services Proposes Amendments To Fraud And Abuse Rules
We noticed the following press release published by the law firm of Husch Blackwell LLP regarding proposed changes to HHS fraud and abuse regulations … [Read more...]
Texas Health & Human Services Overview
We came across this PDF of a presentation recently done for the House County Affairs Committee by Dr. Courtney Phillips, the Executive Commissioner of … [Read more...]
No Penalty or Fine for Xerox Using High School Dropouts to Approve Medicaid Prior Authorizations for Eight Years?
The state's $235 million settlement this week with Xerox/Conduent, its former Medicaid claims administrator, unfortunately, leaves unresolved some … [Read more...]
Texas Settles with Xerox for $235 Million Out of “Desire to Buy Peace and Avoid Further Litigation”
This morning Attorney General Ken Paxton announced that the State of Texas had settled its $2 billion Medicaid fraud lawsuit against Xerox/Conduent, … [Read more...]
Xerox Quality Assurance Checks on Ortho PAs Apparently Consisted of Re-checking the Addition of HLD Score Sheets
For those following the $2 billion Medicaid fraud case against Xerox/Conduent here in Texas, another plank in the state's case against the company is … [Read more...]
“I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
Dr. Jerry Felkner Some of the evidence that the state is using to pursue Medicaid fraud allegations against its former Medicaid claims … [Read more...]
Texas lawmaker introduces bill requiring name and photo be added to Lone Star card to fight fraud
A Texas lawmaker has authored a bill that would require photographs and names on Lone Star cards to help fight fraud. Dade Phelan (R-Beaumont) … [Read more...]
Dental Managed Care Issues Receive Legislative Attention with Meeting at the Capitol
Back on November 21, House Human Services Committee Chairman Richard Peña Raymond held a meeting with a select group of dental providers regarding … [Read more...]
Comments on Dental Radiation Machine Regulations Proposed Rules Due 2/10
Texas Health and Human Services is accepting comments from stakeholders on the following proposed rules. The comment period ends February 10, … [Read more...]
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