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 "Government":

"… m Sparrow, a professor at Harvard University’s John F. Kennedy School of Government and health fraud expert. “We’d save a huge number of taxpayer dollars …"

"… ning at a June 24 hearing of the Senate Committee on Homeland Security and Governmental Affairs. One official said at the hearing that existing staff was stretc …"

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 "dentist":

"… for children should be thrown out of the Medicaid program for encouraging dentists to perform unnecessary treatments to boost profits, a new U.S. Senate rep …"

"… that Small Smiles’ business model deceptively gave managers rather than dentists control over the clinics. The report said that management set daily produ …"

"… cs. The report said that management set daily production goals and awarded dentists bonuses based on the amount of work they do, resulting in overbilling and …"

"… ing our ownership structure and the role we play in supporting Kool Smiles dentists to provide care in the best interests of their patients.” Twenty-two 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

Judgment calls on billing make 'upcoding' prosecutions rare

By Fred Schulte

Authorities typically settle, and doctors often continue treating Medicare patients

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 "Harvard University":

"… fraud expert and professor at the John F. Kennedy School of Government at Harvard University, said: “If there are changes [in billing] over time costing the public b …"

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 "Puerto Rico":

"… were suspended due to suspected fraud came from just four states: Florida, Puerto Rico, California, and Michigan. Over half of the providers were located in U.S. …"

Medicare fraud out of control

By The Center for Public Integrity

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