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State regulators in Texas last week agreed to settle allegations of Medicaid fraud against Trueblood Dental Associates, P.A. Brace yourself for the numbers: The state agreed to recover just $39,211...
Dental fraud and abuse cases have drawn the eye of the Office of Inspector General. Medicaid is the main source of dental benefits for about 35 million children, and many dentists and dental chains have been prosecuted for providing unnecessary care that's harmed children, according to a commentary by former U.S. Department of Health and Human Services Inspector General Richard P. Kusserow.
To defray some of the $150 billion in insurance taxes imposed under the healthcare reform law, insurers hope to shift the fees to Medicaid members, Bloomberg reported.
Medicaid providers in Alaska state a faulty claims processing system has put them on shaky financial ground as they await payments held up for months, reported the Alaska Dispatch.
Missouri's hospitals--and their patients--are beginning to feel the bite of their state policymakers' decision not to expand Medicaid eligibility under the Affordable Care Act.
The war against Medicaid fraud continues but prosecutors in several states are experiencing mixed success. New Mexico has had some initial successes clamping down on mental health providers, but so far regulators in neighboring Texas are stymied in their efforts to collect alleged overpayments.
New York regulators believe that hospitals may have received more than $31 million in Medicaid payments for short-stay patients who died not longer after being admitted, the Albany Times-Union reported.
California regulators have suspended Medicaid payments to 16 unidentified alcohol and drug treatment centers statewide after investigations for potential billing fraud, the Sacramento Bee reported.
A wide ranging billing probe of mental health services has led to what will likely be a long-term suspension of Medicaid payments to 15 providers in New Mexico, the Santa Fe New Mexican has reported.
Gov. Rick Scott heeded hospital CEOs' calls for $65 million in "transitional payments" as the state moves to a new Medicaid payment system, according to the News Service of Florida.
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