Central KY Commercial Real Estate Blog: NAI Isaac Brings Kool Smiles Dentistry to Elizabethtown, KY

Central KY Commercial Real Estate Blog: NAI Isaac Brings Kool Smiles Dentistry to Elizabethtown, KY

WARNING to Elizabethtown, Kentucky residents; it looks like you are about to become the unwitting prey of a Kool Smiles dental center. 

Danger to your children awaits.  Remember the dental mill mantra “Patients may be hard to increase, but billable procedures are not!”  Creative dentistry at its best.

I feel Kool Smiles operates illegally in Kentucky under the statues of a Professional Service Corporation (PSC) where by the person owning and directing the “professional service” must be licensed by the “professional” board of the state, in this case the Kentucky Board of Dentistry and the person MUST perform those services. KRS 313.060 (3) no person shall conduct dental practice in their name unless he or she personally performs services as a dentist is such office.  Not less then 1/2 of the officers of a PSC and ALL of the officers other than the secretary and the treasurer shall be qualified persons to perform the professional services. See KRS 274.027 and 274.045 

Why the KY Dental Board ignores its own laws, rules and regulations is beyond me. 

 

See many more Kool Smiles reports by clicking here.

 

Not letting Dr. Edward Dove off the hook, fathers drive to remove the dentist continues.

Today, Chris Cook, the father who created the Facebook page exposing the atrocities of Dr. Edward Dove of Bakersfield, California made an appearance on the Scott Cox, radio program.  Scott Cox is on KERN Newstalk Radio in Bakersfield.

 

 

Chris has also created a Petition asking parents to people to sign and plans to pass it along to the California Dental Board.

You can sign the petition here.

Pictures are from the latest protest of Dr. Dove.

You can join Chris’s Facebook group here.

 

 

 

 

 

Friday is Conscious Sedation day at Dr. Dove’s.  A protest has been planned Friday, September 30 · 6:30am - 2:00pm  at the Chatsworth Office

Edward Dove's Chatsworth Office
20523 Devonshire St
Chatsworth, CA

Incidents and Allegations:

The Real Cheaters

Boston Herald Monday September 26, 2011

The cheating done by food stamp recipients is peanuts compared to vendor fraud (“Life’s a beach on EBT street,” Sept. 22).

Most fraud is done by pharmacies, doctors, dentists, nursing homes, hospitals and sellers of medical equipment. The government recovered $2.5 billion in overpayments for Medicare in 2009 as the Obama administration focused attention on fraud enforcement efforts in the health industry.
Click here to read the full story
The Real Cheaters

Inside the mind of a corporate dentist who is paid based on production.

Here is what happens to a dentist working at a dental mill when they don’t produce. Names and dates have been changed.
I believe this is a letter from a “lead” dentist at a dental mill clinic sent to their “regional manager". It’s apparent production is the only goal and is precisely why getting a bonus and/or a piece of the pie for compensation is more than wrong! It’s criminal! This is exactly why under Quality of Care Corporate Integrity Agreements, employee compensation or bonuses are NOT to be based on “production” goals.

Dear Regional Manager,

This letter is in regards to the production levels of Dr. F. As you know the clinic was approximately $500 away in production from the $300/3000 Bonus for the month. This is one of MANY examples of Dr. F not completing the majority of the treatment on the patients she sees on a daily basis. The patient, RH, was seen on 12-1-2010 by Dr. F and the only treatment done was a facial composite on the #C and the rest of the treatment to be performed was dismissed because the patient was nervous and he wanted the dental visit to be easy.
The clinic missed out on the possible $425.96 of production because he wanted to make the visit EASY? I find this very upsetting because I strive to work at my full potential and lead by example to my fellow doctors and employees to work hard regardless if I want to make a dental appointment easy.
If I wanted to make the appointment easy for every nervous patient, I believe a strong majority of our parents would be upset that they would have to continuously keep coming back because the patient was nervous. RH was my patient today and I completed the majority of the treatment except the extractions (per mom) and yes the patient was initially nervous, but did great for the injections and treatment. In conclusion, my question is how many more patients are to be dismissed or partial work completed because they were nervous and how many production goals must be compromised because of Dr. F’s lack of effort?
Sincerely,
Dr. X Ray Fraud

As you can see, Dr. X Ray Fraud would have done all the extractions had mom not spoken up and refused.

Jim Moriarty “Only a human can practice dentistry” “No corporation is allowed to practice dentistry.”

by BYRON HARRIS
Bio | Email
WFAA
Posted on September 23, 2011 at 11:15 PM

WFAA's Byron Harris has investigated dental organizations that have charged the government millions for children's braces. Here is the latest from the on-going News 8 investigation which includes a statement from Texas attorney, Jim Moriarty. 

E-mail bharris@wfaa.com

 

Related:

• Feds investigate Texas dental Medicaid program  
• Questions surround lucrative Medicaid dental business
• Tax money for unneeded braces goes to hedge funds
• Texas taxpayers pay big for straight teeth

See all photos »

Don’t become part of the crime and cover-up–Report it!

This goes out to any Small Smiles or Church Street Health Management employees.

The Office of Inspector General and Health and Human Services take Corporate Integrity Agreements seriously, especially Quality of Care CIA’s and even more important the agreements that have to do with the treatment of children.

I know many of you are afraid to speak up about the violations and breaches of the Corporate Integrity Agreement.  I know many of you are concerned about other misdeeds happening at the dental centers as well as at corporate headquarters. 

I encourage each of you to report any and all violations.  If you don’t feel comfortable using the Hotline that is set up, and I understand that completely, then at least report directly to the OIG/HHS. 

You may direct complaints of suspected Medicaid fraud to
OIG's Hotline1-800-HHS-TIPS (1-800-447-8477) or directly to a

State Medicaid
Fraud Control Units

If the monitor is visiting your center, please talk to the monitor.  I’m sure all reports and allegations are taken seriously.  If you can’t talk freely right then, surely you can find a way to get the monitor’s attention to slip them a phone number or a note or something.  Get the name of the monitor and contact them later….do something.

Heck do all of the above if you don’t feel comfortable talking to the monitor and your concerns swept under the rug.  Even though I doubt that is the case.  But I understand just about every one of you are terrified. 

You guys are the first line of defense against children being mistreated and Medicaid fraud prevention.  Please do the right thing.  For example, if you see procedure being coded and billed improperly, please report it, please.  Don’t become part of the crime and cover-up.

Dr. James Crow sentenced to prison for Medicaid Fraud - using wrong billing codes

Medicaid Fraud and Perjury by Brownwood, Texas Dentist. Perjury(emphasis added).

Who at these Medicaid mills are willing to leave your family, newborns, sick parents and head off to prison? Better be thinking about it.
_____________

September 21, 2011
SAN ANGELO, Texas — A Brownwood dentist convicted in federal court in San Angelo of defrauding Medicaid has been sentenced to 70 months in prison and ordered to pay more than $1.6 million in restitution.

James Crow, 67, was ordered by U.S. District Judge Sam Cummings to surrender to the Bureau of Prisons on or before Oct. 26. He also was ordered to pay $1,653,474 to Texas Medicaid and forfeit that amount in cash, a truck, several Harley Davidson motorcycles, a residence in Brownwood and additional real estate elsewhere in Brown County, a camper, a boat and a trailer.

Cummings also issued a finding that Crow had committed perjury during the two-week, May 2011 trial in San Angelo.

Crow was convicted on evidence that he filed claims to Medicaid for services he didn't perform and for services billed under improper billing codes. Crow billed Medicaid for resin-based fillings when the service weren't performed or services were performed that were not reimbursable under Medicaid.

The case was prosecuted by the U.S. Attorney's office in Lubbock using investigations conducted by the Texas Medicaid Fraud Control Unit and the FBI.

Obit sheds light on DeRose family tree

Grove, Jean P.
Jean P. Grove - Pueblo Chieftain - March 12, 2001 - Longtime Pueblo resident, passed away March 9, 2001. Preceded in death by husbands, Frank G. Palladino and Arthur E. Grove; sister-in-law, Veronica DeRose; and brother-in-law, Bruno DeRose. Survived by nieces and nephews, Dr. Edward J. and Neta DeRose, Sel and Vivian Elizondo, Dr. Rudy and Berni Padula, Alfred J. and Rose Schiavoni, Mary Lou Keating; and sister in-law, Jada Willard. Mrs. Grove resided in Pueblo for 50 years and was a loyal member of Sacred Heart Cathedral and St. Pius X churches. Service will be held at Sacred Heart Cathedral on March 13 at 10 a.m. The family respectfully requests the omission of food and flowers. Contributions may be made to the Fellowship of Christian Athletes, 7 Glen Eagle Court, Pueblo, CO 81001, in memory of Mrs. A.E. Grove. Interment, Roselawn Cemetery.

How to slow the child abuse, tortuous dental overtreatment and fraud

If states want to stop the influx of these substandard dental mills; if states want to end the continued overtreatment and child torture perpetrated on the poorest and most vulnerable of our citizens; if states want to cut the Medicaid fraud by same dental mills by billions; the solution may be as simple as slowing down the reimbursements.

Many think they gravitate to states with the highest reimbursement rates or those states that pay for more procedures, but that’s not always true.  If you were to ask an exec at one of the mills, you may well be told it’s actually how fast the money flows into their coffers.

Look at the states who are slow to pay; you won’t find many dental mills there.  Take Illinois for example, they are considered to be slow to pay; no Small Smiles or Kool Smiles there. 

Of course that’s just one of the factors considered, but it’s a huge one!  Other factors could be:

How quickly dentists can be credentialed
How quickly dentists can be licensed with the state dental board
Who they know and can control at the state dental associations

Just Saying….

Being lectured about wasting taxpayer dollars by a Medicaid Fraudster is off the chart ridiculous.  Just saying….