Dental chain may be booted from Medicaid program

By David Heath

Small Smiles, under federal scrutiny for performing unnecessary dental treatments on children, could be barred from the Medicaid program.

Excerpts from this story referencing "dentist":

"… It could force thousands of children in low-income families to find a new dentist willing to treat them. Small Smiles will be excluded from the Medicaid pr …"

"… roblems at Small Smiles clinics. Small Smiles was first accused of paying dentists bonuses to hit production targets in a 2007 television news report. The C …"

ObamaCare oversight among health watchdog cuts

By Fred Schulte

Trims include ObamaCare oversight

Excerpts from this story referencing "Food and Drug Administration":

"… f drugs marketed under Medicare Part D without first being approved by the Food and Drug Administration for safety and effectiveness. Medicare paid more than $3 billion from 2006 …"

Senate report recommends ouster of large dental chain from Medicaid program

By David Heath

Small Smiles should be removed from Medicaid for encouraging dentists to perform unnecessary treatments to boost profits, investigators say.

Excerpts from this story referencing "Max Baucus":

"… 500-page, bipartisan report put out by Sens. Charles Grassley, R-Iowa, and Max Baucus, D-Mont. Small Smiles described the report as outdated, saying in a writt …"

Feds tighten scrutiny of health records

By Fred Schulte

Feds increase scrutiny of how electronic systems affect billing

IMPACT: Cabinet officials signal crackdown on Medicare billing abuse

By Fred Schulte and Joe Eaton

Sebelius, Holder signal new scrutiny in wake of Center series

Excerpts from this story referencing "Medicare fraud":

"… dgment by top federal officials that the digital era may spawn more costly Medicare fraud and billing abuse. In the past, federal officials have largely accepted th …"

How doctors and hospitals have collected billions in questionable Medicare fees

By Fred Schulte and David Donald

Center investigation suggests cost from upcoding and other abuses likely tops $11 billion.

Excerpts from this story referencing "American Academy of Family Physicians":

"… t more than you did before,” said Weida, a medical coding expert for the American Academy of Family Physicians. But digital systems also can prompt doctors to “code at the highest po …"

Judgment calls on billing make 'upcoding' prosecutions rare

By Fred Schulte

Authorities typically settle, and doctors often continue treating Medicare patients

Excerpts from this story referencing "Virginia":

"… on and garden variety fraud violations for years,” said William Mahon, a Virginia health care fraud expert. “This is the first time that anyone has quanti …"

Medicare fraud: What you need to know

By Sarah Whitmire

Last week's biggest-ever Medicare fraud bust nabbed 107 care providers, but how does this effort stack up?

Probe finds hospital chain inaccurately diagnoses infections

By Christina Jewitt and Lance Williams

A California hospital chain under scrutiny over Medicare billing now faces questions about misdiagnoses of a blood infection

Medicare fraud included phantom services, equipment

By Laurel Adams

A sampling of Medicare providers who were overpaid by $206 million in 2007-08 showed some billed the government for phantom services or for

Excerpts from this story referencing "Michigan":

"… ed fraud came from just four states: Florida, Puerto Rico, California, and Michigan. Over half of the providers were located in U.S. Attorney districts that h …"

Medicare fraud out of control

By The Center for Public Integrity

Medicare fraud runs rampant but no government crackdown yet, despite bipartisan support