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 "Kool Smiles":

"… ic Integrity and PBS Frontline exposed similar practices at another chain, Kool Smiles, in a 2012 report titled “Dollars and Dentists.” Small Smiles’s own …"

ObamaCare oversight among health watchdog cuts

By Fred Schulte

Trims include ObamaCare oversight

Excerpts from this story referencing "individual health insurance policies":

"… r security at state marketplaces — known as exchanges — that will sell individual health insurance policies under the Obama health care law. The IG’s office said “time pressures …"

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 "Iowa":

"… ays the 1,500-page, bipartisan report put out by Sens. Charles Grassley, R-Iowa, and Max Baucus, D-Mont. Small Smiles described the report as outdated, s …"

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 "Obama administration":

"… led a rise in potentially improper medical billing is a touchy one for the Obama administration, which has championed electronic health records as a means to both improve …"

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 "Obama administration":

"… d standing with Medicare. He had no comment. Growing Tensions Though the Obama administration has made a significant commitment to cracking down on Medicare fraud and a …"

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 "Obama administration":

"… Services and served as its acting administrator in the early months of the Obama administration.Indeed. A jury convicted Martin on 31 counts of health care fraud for mani …"

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?

Excerpts from this story referencing "Fraud":

"… d up with the Department of Health and Human Services to create a Medicare Fraud Strike Force. It is a collaboration that became part of a larger initiativ …"

"… aboration that became part of a larger initiative known as the Health Care Fraud Prevention and Enforcement Action Team (H.E.A.T.) in 2009. Now with about …"

"… The Washington Times, February 17, 2011“Feds Fight Rampant Medicare Fraud in South Florida” by NPR’s "All Things Considered", November 6, 2007 …"

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 "Government":

"… dicare fraud team.Following are other new watchdog reports released by the Government Accountability Office (GAO), various federal Offices of Inspector General …"

Medicare fraud out of control

By The Center for Public Integrity

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