Dentist trades drugs for sex

I’m not really sure who is the most disgusting, the dentist or the women.  Geez.

Boston Herald
August 12, 2011
Larue J. Sweet
A disgraced dentist who “lost everything” because he overprescribed prescription painkillers and anxiety medication to at least nine female patients in exchange for fondling their breasts and slapping their bottoms avoided prison but drew six months on house arrest at his sentencing yesterday.

“I left my staffers suddenly unemployed. I left my patients without care. My children are in counseling because of my actions. My grandchildren are embarrassed and have distanced themselves from me. I have lost everything,” Dr. Steven Miller, 69, of Wareham yesterday told U.S. District Court Judge George A. O’Toole Jr. in a breaking voice.

 

Read full story here

Arizona–New laws go into effect July 20, 2011

Business Entities (ARS 32-1213(N))
The following language was added to Business Entities. No individual currently holding a surrendered or revoked license to practice dentistry or dental hygiene in any state or jurisdiction in the United States may have a majority ownership interest in the business entity registered pursuant to this subsection. Revocation and surrender of licensure shall be limited to disciplinary actions resulting in loss of license or surrender of license instead of disciplinary action.

Investigation/Complaints (Arizona Revised Statutes (ARS) 32-1263.02)
Investigative Interviews have been eliminated. All cases will be investigated through the chief investigator or an outside dental consultant. The Board will review the summaries of the investigations and if it appears that the licensee engaged in unprofessional conduct the dentist may be invited to attend a formal interview before the Board. Additionally, the Board may resolve more cases through consent agreements.

Powers and duties; executive director; immunity; fees; definition (ARS 32-1207(C))
Language was added to allow the Executive Director or the Executive Director’s Designee to issue and renew licenses, certificates and permits to applicants who meet the requirements; initiate an investigation if evidence appears to demonstrate a licensee may be engaged in unprofessional conduct or unable to safely practice; initiate an investigation if evidence appears to demonstrate that a business entity may be engaged in unethical conduct; subject to Board approval, enter into a consent agreement with a licensee if there is evidence of unprofessional conduct; and subject to Board approval, enter into a consent agreement with a business entity if there is evidence of unethical conduct.

To read all the new changes, click here

Cashing In by Cashing Out–Small Smiles and the Corporate Practice of Medicine

Listen up!  If you currently work for a dental mill in any capacity this is a must read for you.  If you work for a “chain” dental clinic, it’s for you too.   It lays it all out for the “fake” owners and exactly what can and may happen if you continue to cooperate filling the coffers of Private Equity firms, like Arcapita and FFL.

Excerpt:     

…Children are strapped down to a papoose board to eliminate the time it takes to calm and reassure them before a procedure. Parents are banned from the clinic rooms because they might want to slow the procedure if their child is fearful or in obvious discomfort.

     Unnecessary procedures are performed because the corporation gets paid by Medicaid for every procedure performed, not just the necessary ones. And children get rushed, inadequate, and botched dental work because it’s faster than taking the time to do each procedure properly.

      As the blurred face of the stricken ex-Small Smiles dental assistant explains, it’s all about “production, production, production.” It’s a good mantra for a widget factory. It’s a torture sentence in a dental clinic.

      How are such practices permitted in this day and age? The simple answer is they aren’t –and haven’t been for over a hundred years. Unfortunately, the laws that prevent such practices aren’t systematically enforced, and private equity firms with desires for outsized profits are taking advantage of that fact. They’ve discovered a veritable gold mine in the systematic bilking of Medicaid for their corrupted brand of dental “care”. By inflating the profit margins of these clinics with shoddy and abusive practices, private equity firms can sell the business at an extraordinary profit, with the only fallout being traumatized children who are often too poor to seek recourse – or know that any is due to them…

Click here to read the rest of this brilliant piece!

Dentists Warn of Risks Associated with Sports Drinks

Yes, Church Street Health Management has found a new subject matter to comment on, in order to get press I suppose.

Dentists Warn of Risks Associated with Sports Drinks

1.  One of the founders of the Small Smiles Dental Centers was instrumental in  putting soft drink machines in our schools.  Dan DeRose

2.  Since Church Street Health Management and their illegal Small Smiles Dental Centers target the “underserved” (preferably Medicaid children under 10)I doubt those same individuals are heavy into sports drinks.

“As children of all ages engage in outdoor activities during the summer, there is a growing tendency toward the consumption of sports and energy drinks instead of water,” said Dr. Steven Adair, Chief Dental Officer of Church Street Health Management, which manages more than 70 dental centers for low-income families in 22 states.

Choking on the above statement-They illegally own and operate, not manage, 73 clinics in 22 states and the District of Columbia.  It appears CSHM will do what they can to put their “two cents” out there on a subject matter, press is press I suppose.  :

 “Cashing In by Cashing Out" – It’s a must read!!!

Church Street Health Management’s New Members for 2011

Church Street Health Management finally filed their annual report July 17, 2011 with the Kentucky Secretary of State.

Noticeable changes are the “Managers”,  A Carlyle Group member finally emerges from the shadows.

Two family homes; each profit from taxpayer dollars-Medicaid.

When it comes to discussion of these illegal dental mills, I get so dang sick of all the remarks about “Medicaid moms” and blaming them for the pure existence of these disgusting places.

I have a question for you.

Which one of these homes leave the worst taste in your mouth?  They both live off your tax dollar.

 

Carlyle Group’s Susan Kasser, board member of Shari’s Management Corporation, joins the board of Church Street Health Management/Small Smiles Dental Centers

Kasser has been with the Caryle Group since 2004, prior to that she was at Goldman Sachs, surprise  surprise.

Here is her profile from the Carlyle Group website:
Susan Kasser is a Principal with Carlyle Mezzanine Partners, focusing on junior debt investments in support of leveraged buyouts, growth capital, and recapitalizations, primarily in North America and Europe.  Ms. Kasser is based in New York.

Since joining Carlyle in 2004, Ms. Kasser has been actively involved in current portfolio companies American Achievement Corporation, BioReliance Corporation, Church Street Health Management, Hudson Products Corporation, INC Research and Shari’s Restaurant Group.  Ms. Kasser was also actively involved in the investments in Applied Systems Inc, Sanitors, Inc, and US Investigations Services, which have been fully realized.

1-800-Dentist Patient Shopping for Kool Smiles? Sounds like it.

These criminal are so brazen.

Group Practice Leaders Accelerate Growth with Marketing Expertise From 1-800-DENTIST®

1-800-DENTIST’s Dental Marketing Summit will be held on July 18th & 19th at 1-800-DENTIST’s headquarters with two of the nation’s leading group dental practices, Midwest Dental and Kool Smiles.

Los Angeles, CA (PRWEB) July 12, 2011

Two of the nation’s leading group dental practices, Midwest Dental and Kool Smiles, will share proven marketing strategies that increase production and profitability at 1-800-DENTIST’s Dental Marketing Summit. The summit will be held on July 18th & 19th at 1-800-DENTIST’s Los Angeles headquarters.

The Dental Marketing Summit features key industry experts with 50+ years of combined experience in marketing: Fred Joyal, Co-Founder of 1-800-DENTIST®, Gregg Coccari, CEO of 1-800-DENTIST®, and including Ralf Tomandl, 1-800-DENTIST’s Director of Business Development.

Small Smiles Holding Company, LLC -Directors, Executives and Members

 Morning. 

I've always wondered the names of the people who are hiding behind the "Mother Ship" of the Small Smiles Dental Centers and Church Street Heath Management.  Last week I was poked to dig deeper.  I was more curious than ever to find the names of those people who hide behind 100 or more corporations, public service companies, and limited liability companies. So I decided to send off for some information.

By looking at the names on this list it appears Small Smiles Holding Company, LLC is a mashup of every health "service" that bills Medicaid rooted in Nashville,Tennessee including, Ameris Health System, LLC; Children's Comprehensive Services (CCS);  the old Pricor; Corrections Medical Management; Ccs/Gulf Pines; Keystone Youth and Education; Ccs/Altacare  and more. Also the same bunch at Ameris Aviattion; Ameris Realty of Flordia, LLC;  Maderia Bay Marina, LLC; and Maderia Bay South, LLC.

Honestly, by the time I got to page 3 I expected to see my own name on the list.  (Just kidding)

Top 5 Ways Small Smiles Dental Centers has violated their Corporate Integrity Agreement

I knew they would disregard each and every word of the Corporate Integrity Agreement.  I said so right here, the very day it was announced.  As for the $24 million paid to the Federal government, and just over $2 million to the state of New York, to them it was going to be nothing more than the cost of doing business.  Pay to play-simply another business expense.  Hey, do they get to deduct that from their income tax return?

The current CSHM crew took over the operation of the Small Smiles dental clinics after they purchased all of them in the fall of 2006-actually they hired the old bunch to do it for a while. 

The arrogance shined like a beacon from the start. The investigation by the Justice Department started in the fall of 2007, just about the time Alberto Gonzales resigned.  All the while, thumbing their very long-and continually growing-nose directly at the entire United States Department of Justice, the US Attorney General and about 23 state Attorneys General and the public at large. No settlement was announced and signed until January 2010.   During which time, they didn’t slow down, skip a beat, miss a step-or any other idiom you want to use.  The child abuse and Medicaid fraud continued-business as usual. 
I originally planned to take all 65+ of the Corporate Integrity Agreement (CIA) that Church Street Health Management (CSHM)- formerly FORBA – signed in January 2010 and mark all the ways, I knew for sure, CSHM had violated said agreement.
I had not got past Section III before I was overwhelmed. No, that’s not right, I was pissed off! Why? Because of the continued arrogance.
So I decided to pick out my top five
1.  Continue with bonus program that is based on “production” or in CSHM speak, “Collections”  To this day, everyone gets bonus if they meet “collections” goals, and it gets bigger if they meet set intervals, no max they can make.  See below.  BTW the Lead Dentist gets 12.5 times the said amount.  Lead Dental Assistant gets 1.5 times set amount.

2.  They are not supposed to base any compensation that would create an atmosphere for overtreatment and fraud, i.e. no % based pay.  Well, continuing with the bonus program didn’t thumb their nose to the CIA enough, no, they created a whole new contract for new and current dentists called “Collection Based Compensation”.   It’s all set out in a 30+ page contract that most CPA’s can’t figure out.
3.  Compliance Officer is not supposed to be the Chief Financial Officer – so they put the SVP of Financial Operations, Lorri Steiner in that position.  No, she’s not the CFO, but c’mon!
4. Appoint Compliance Liaisons at each center who are not afraid to report compliance breach to the board of directors, the compliance officer or anyone else.  So, what dose CSHM do, they make the Compliance Liaison the Office Manager!  Guess who gets a nice size bonus if all things go well at the center and they make their production goals, yep, the Office Manager!!!

5.  Hire an Independent Monitor to “monitor” their misbehaving.  So what does CSHM do, they have amazing made sure that N. Sue Seale, DDS, a great buddy and colleague of their Chief Financial Officer, Steven Adair, is the “pediatric dental professional” to check in on things with the Independent Monitor.   Reports to me are Sue and Steven come to some of the centers together and are quite cozy!
There you have it, my top five.  Well, the top five I picked out in the first few pages of the CIA anyway.