Federal Agents Arrest NK Man In $20 Million Medicaid Fraud Scheme
Looks like dental Medicaid fraud isn't just a problem in Texas or the Southeast. Looks like dental Medicaid fraud is systemic throughout the Medicaid programs. From theNorthKingstonPatch By Elizabeth...
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See this piece about private equity gobbling up the dental market. And who is footing the bill? You, Mr. Taxpayer, through the Medicaid programs. You know something fishy is going on when private...
View ArticleShockng: some politicians in the hip pocket of dental mills and private equity
Click here for the Bloomberg story.Who is going to protect patients? Who is going to protect taxpayers?Who is going to protect the profession?Click here for a link to the North Carolina Dental...
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More Texas dental Medicaid news
From the Houston Chronicle: Most money goes for crowns. Nearly 40 percent of restorative Medicaid-paid work performed on Texas children's primary teeth involves the use of stainless steel crowns,...
View ArticleOur most recent dental Medicaid fraud case All Smiles and Dr. Malouf
People have been asking me about my recently unsealed and intervened dental Medicaid fraud case. The petition that the State of Texas filed is below.Click here and here and here for news and blogs....
View ArticleDr. Malouf . . . meet the Texas Attorney General
Click here for the story. Hats off to the Texas AG. But will the government let Malouf and his cohorts walk like last time? Hope not because Texas Taxpayers and Texas kids deserve better.
View ArticleAll Smiles Qui Tam Press Release
Based upon the interest in our qui tam case against Malouf and All Smiles, please see our press release below. WKNews_Ellis2012-07-09
View ArticleAll Smiles CIA - another slap on the wrist
Below is the Corporate Integrity Agreement that All Smiles entered into on March 20, 2102. For too many of these corporate owned dental mills, fines and fees seem to be just a pothole on the path to...
View ArticleTexas has updated its Medicaid stats (the numbers keep growing)
Click here.Bexar County, which is my count, had 250,000 people enrolled in Medicaid for the month of June. The total Bexar County population is 1,750,000 -- a ratio of 1 out 7.
View ArticleThe big Medicaid budget squeeze
Medicaid is an ever-growing volcano of cost to state governments, squeezing out programs such as education and infrastructure. From our perspective, states are doing a terrible job prosecuting health...
View ArticleFiscal intermediaries -- paying the fox to guard the henhouse
Why is there so much fraud in the government health care programs? In part because the government relies on private contractors to act as fiscal intermediaries. Even the AMA recognizes, in its own...
View ArticleAll Smiles' version of "take the money and run"
From the Dallas Morning News. In a rare move, one of the largest dental providers in the Dallas area is systematically turning away thousands of its young Medicaid patients as it shutters its entire...
View ArticleInteractive map of Texas physicians who accept Medicaid
From the Texas Tribune, click here for an interactive map showing the number of physicians who accept Texas Medicaid.
View Article5th Circuit permits government employee relators (auditors) to prosecute qui...
Here is the decision. We especially like the citation at page 8.Opinion - U.S. ex rel. Little v. Shell (July 31, 2012, 5th Cir. 2012)
View ArticleTexas dentist indicted
From the Texas Attorney General:Dr. Michael David Goodwin, 63, an orthodontist who practices in Amarillo, Texas, and Crown Point, Indiana, has been charged in a federal indictment with 11 counts of...
View ArticleFraud Always Pays -- Are Fraud Settlements Tax Deductable
From the NYT via the TaxProf Blog:New York Times: Paying the Price, but Often Deducting It, by Gretchen Morgenson:With multibillion-dollar mortgage settlements making headlines this year and last, the...
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CMS Steamrolled by Scooters Gone Wild
A little home town news, by way of the San Antonio Express News:The Scooter Store received as much as $87.7 million in Medicare overpayments from 2009 to 2011, an independent auditor found, but the New...
View ArticleFCA Stats for FY 2012
The Department of Justice released the FY 2012 False Claims Act statistics (see below). The False Claims Act resulted in the recovery of almost $5 Billion from the bad guys. While admirable, this is...
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Military Health Care Costs for Drugs is Alarming
I meant to post this article when it came out. The skyrocketing cost of the military health care system, caused in part by unchecked fraud, is a national security issue. From the Austin American...
View ArticleSlides for the Advanced Employment Law Course
Here are my slides for the State Bar of Texas Advanced Employment Law Course (Dallas, January 2013). D Hargrove Slides (SBOT - Advanced Employment Law CLE Jan. 2013)
View ArticleMy Article for the State Bar of Texas Advanced Employment Law Course
Dan Hargrove (SBOT 2013 Article) by
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Qui Tam Lawsuit Against Lance Armstrong
Since the guy confessed to cheating, I thought it appropriate to post this qui tam lawsuit, filed by Floyd Landis against Lance Armstrong and others. You know what they say about payback. U.S. ex...
View ArticleTexas Legislature Takes Aim at Dental Medicaid Fraud -- but will they hit the...
From WFAA (Dallas):State Sen. Jane Nelson (R-Flower Mound) put it simply Wednesday, speaking to a group of reporters at a news conference in Austin: "It is infuriating to hear of the kind of problems...
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