Friday, August 24, 2012

ReachOut Healthcare America’s Dr. Ralph Green whines about being exposed as a crook

DO NOT MISS THIS ONE!  Please visit the site and make your comments, Dr. Ralph Green wants to hear from you.
AZR

Article maligned my dental clinic

Regarding "Dental clinics merit scrutiny" (Editorial, Tuesday):
I believe the editorial's characterization of my dental practice as a scam was misleading and irresponsible. It is simply not true.
Grouping my practice with Onsite Dental, which fraudulently billed Medicaid and whose owner's license has been suspended, is egregious and reckless. It threatens my practice and places thousands of Arizona children at risk of not having access to dental care.

For the past decade, I have operated a mobile dentistry practice that has served more than 200,000 of the more than 1 million Arizona schoolchildren who do not receive dental care. The roughly 200 dentists I have employed over the past 10 years are dedicated to the mission of helping these kids.

The Republic reported that $12.5 million was collected from AHCCCS during the past two years ("Mobile dental clinics drawing scrutiny," Sunday), leaving the reader with the impression that the amount collected was inflated or unwarranted. The newspaper failed to mention that more than 105,000 children received much-needed care for that amount at a rate of less than $120 per child.

As a large Medicaid provider, my practice is continually audited by the dental directors of multiple insurance companies as well as government regulators. We are proud of our record and hold ourselves to the highest ethical standards.
-- Dr. Ralph Green, Phoenix
Read more: http://www.azcentral.com/arizonarepublic/opinions/articles/2012/08/24/20120824-article-maligned-my-dental-clinic.html#ixzz24Tw6WpB6






Wednesday, August 22, 2012

Pacific Dental – Wordmarks, Trademarks and Servicemarks

If you see these, it’s probably Pacific Dental:

1  PPE

2  PERFECT PATIENT EXPERIENCE

3  MY KID'S DENTIST & ORTHODONTICS

4  EVERY KID'S DENTIST & ORTHODONTICS

5  LITTLE MOUTHS ARE A BIG DEAL

6  PRIVATE PRACTICE +

7  FROM BABY TEETH TO BRACES

8  SMILEGENERATION.COM

9  EVERY KID'S DENTIST

10 EVERY KID'S DENTIST

Small Smiles Dental Center Victim?

If your child has had a horrible experience at one of the nations Small Smiles Dental Centers, anytime, but especially in 2012 please please email me cckaddie@yahoo.com. I have important information.

I know something happened in April to a child an Indianapolis, IN dental center, I’m sure there are more. Many more.

Or maybe your someone with other horror stories from Small Smiles Dental Centers.

Waller law firm seeking payments from Church Street Heath Management–Small Smiles Dental for its April–June 2012 expenses

Going over Waller’s timesheets, it appears sumpin’ BIG happened at the Indy 1 Small Smiles in April 2012. I believe there are a lot of “adverse events” attributed to the Indy1 clinic, but this was clearly bigger than they could handle in house, even with Sheila Sawyer overseeing things.

Indy1 is:

Small Smiles Dental Center
5430 E Washington Street
Indianapolis, IN  46219
317-322-1840
Fake owner - Helen Katherine Peterson, DDS

Doc 494-1 CSHM Waller Time Sheet 08152012

Small Smiles Dental Centers Bankruptcy Document Collection

Tuesday, August 21, 2012

Once again, bad news hits major outlets for ReachOut Healthcare America-Big Smiles mobile dental clinics, Small Smiles Dental clinics and Kool Smiles Dental clinics

Shaping up to be another crappy week for the bad guys.
August 21, 2012
TexasMWD
Fraud in Texas’ Medicaid dental program followed spending boom by Mark Lisheron

August 19, 2012

mouthingoffMoral Monday: Texas orthodontists scrutinized for Medicaid fraud  by Katie Sowa, Houston ’15, Electronic Editor


wsjTexas Drills Down on Medicaid Dental Fraud by Nathan Koppel


August18, 2012
ustodayMobile dental clinics drawing scrutiny
by Ken Alltucker on Aug. 18, 2012, under Arizona Republic News

tuscon citizenMobile dental clinics drawing scrutiny - by Ken Alltucker on Aug. 18, 2012, under Arizona Republic News

Arizona Republic Mobile dental clinics drawing scrutiny - Use of Medicaid funding, lack of oversight spur concerns, separate probes
by Ken Alltucker on Aug. 18, 2012, under Arizona Republic News

 


 Big Smiles 

VIDEO REPORTS on ReachOut HEALTHCARE AMERICA – BIG SMILES MOBILE DENTAL CLINICS

Grand Rapids, Michigan - August 12, 2012

Prior Reports

Phoenix, Arizona - June 12, 2012
FYI – ReachOut Healthcare America registered the trademark “Smile Programs…The Mobile Dentists” in 2012.


Senators Charles Grassley and Max Baucus Asking Hard Questions

Reachout
ReachOut Healthcare America
Reachout Healthcare America responds to Senators Grassley and Baucus inquiry- February 23, 2012
Reachout Healthcare America's second response to Senators Grassley and Baucus - March 22, 2012

 

SmallSmilesSmall Smiles Dental Centers – Church Street Health Management     (CSHM)
Small Smiles Dental attorney's, King and Spalding, respond to Senator Grassley’s Investigators - November 29, 2011
Second response letter from Small Smiles Dental Centers to Senator Grassley’s Investigators - December 16, 2011


 
Kool Smiles

Kool Smiles Dental Clinics – NCDR, LLC

Kool Smiles Dental responds to Senators Grassley and Baucus Inquiry - February 3, 2012

Don’t forget the exposé by Frontline June 26, 2012
frontline[6]

http://www.pbs.org/wgbh/pages/frontline/dollars-and-dentists/


Score:
Good Guys – 12
Bad Guys - 0

Medicaid Fraudster’s “WaterPik Park” being installed

I loved Candy’s name for the Malouf Waterpark going in at 10711 Strait Lane, in Dallas, Texas. Candy, help yourself to anything ya like here at the blog…

Tuesday, August 21, 2012

Dentist charged with fraud is getting water park installed in backyard

waterpickpark1

by Candy Evans of Candy's Dirt

DALLAS — "Texas Drills Down on Medicaid Dental Fraud” (subscription required) was the headline from the Wall Street Journal. What do they mean by that? Why, maybe a blast from the past biz practices of people like Richard Malouf who is putting in a water park that one reader thinks we ought to christen “WaterPik Park” over on Strait Lane. His gates were wide open on Sunday as trucks heaved in the equipment, which is now sitting right in the front yard of what was once 10711 Strait Lane.

That is, as you know, the Family Sports World.

If any of you were as surprised as I was over this Medicaid deal — I mean, I know what Medicaid reimburses physicians for medical care and it is barely enough to cover the exam table paper in the office — it seems as though the problem stemmed from a 2007 civil lawsuit (that really started in 1993) that made the state increase reimbursement rates for Medicaid dental services:

Photo, taken 2012-08-21 15:15:25

“The suit, a federal class action filed by parents in 1993 against state officials, alleged Texas was failing in its duty to ensure that children on Medicaid received proper preventative care in dental and other areas. Eligibility for Children’s Medicaid in Texas is pegged to income. In 2007, Texas legislators agreed to settle, conceding that there was a dwindling number of doctors and dentists in the state willing to treat Medicaid patients and agreeing to increase Medicaid-reimbursement rates. A 2012 report by the House Committee on Oversight and Government Reform offered case studies in various states of supposed Medicaid abuse; it cited dental services in Texas as a particular problem area. By 2010, according to the report, Texas’ Medicaid program was spending more on braces than the other 49 state Medicaid programs spent combined on such orthotics.“

This is just what Byron Harris reported, and I wonder why the WSJ doesn’t mention his report. It has also, like always, resulted in the loss of services for kiddos who really need it: All Smiles Dental Professionals P.C., has shuttered 13 orthodontic offices in the Dallas area because of the investigation, leaving an estimated 12,000 Medicaid-eligible patients without care.

But hey, WaterPik Park is coming! Look at those slides just waiting to be installed! It’s only 6.5 million gallons of water, and Texas sure has plenty of that … right?

Monday, August 20, 2012

All Smiles Dental Center’s Motion for Bonus Payments Revealed

Transparent as it was, on May 25, 2012, All Smiles Dental petitioned the court to allow for a Management Incentive Bonuses to be paid during bankruptcy procedures. [shaking head]

First they tried to establish the separation of the Professional Corporation and the plain ole Corporation, and the Debtors. Kind of like “church and state” but better. Keep the chart below handy as you follow along.

Debtors – All Smiles Dental Center, Inc. and AS Property Holdings, LLC
Inc. – All Smiles Dental Center, Inc.
PC – All Smiles Dental Professionals, P.C.

 

Inc, and PC believe that PC must exit the orthodontic practice in an expedited manner”. Inc will help PC do this in a manner consistent with the State Board of Dental Examiners rules. [Doc. 90, paragraph 6]

Debtors are asking that 8 “Key Employees” who are “vital” to the ongoing operations in assisting the PC’s exit the orthodontic business be given a bonus for their outstanding work, just in case they provide some. They argue, since other employees have quit or been fired, these “Great 8” have “asked” to take up the slack.

Debtors claim these 8 have been “efficient in the administration of the Debtor’s estate” and present that any reorganization of the company could not happen without them.

To reward these 8 outstanding people, Neil Minihane, (acting president) devised a “Management Incentive Bonus Plan, at Inc. to reward them for their efforts based on “specifically identifiable milestones”, up to $180,250.00, with installments up to $90,125.00. – [Doc. 90, paragraph 10]

Mr. Minihane believes PC cannot exit the fraudulent [they didn’t say they were fraudulent, of course, I did] orthodontics services without this bonus plan and paying the “Great 8” the proposed bonus is “necessary, reasonable and in the best interest of the Debtor’s estate.”

The plan is to make two payments to the “Great 8”. The first one is when Inc. converts PC over to strictly “general dentistry”. [Stainless Steel Crown manufacturers, gear up!] The payments will be at the discretion of Inc. 

Yes, I think we are understanding this correctly – Inc (debtor) wants to reward Inc (itself) with a bonus, since Inc (itself) has to follow Dental Board rules closing its “fraud” department (orthodontics).

Here is exactly what it says in Doc.90, paragraph 8 :

The Management Incentive Bonus Plan consists of two bonus payments. At the discretion of the Debtors' management, the first bonus payment will be payable upon the Debtors' successful management of PC's exit from orthodontic services. This is a key element to PC being able to shift its practice area to solely general dentistry, and hence, to the Debtors' reorganization into a company only supporting a general dentistry practice. The Debtors, with the critical assistance of the Key Employees, are currently working toward this goal. This includes labor-intensive tasks such as providing staff, record access, and logistics related to the orthodontists' preparation of letters to patients advising of termination of treatment or managing the SBDE professional dismissal process while managing the customer services issues with orthodontic patients and their families. Without the assistance of the Key Employees, PC would not be able to timely and professionally exit the orthodontic practice, resulting in significant additional costs to PC and the Debtors' estates arising from lack of organization and profitability in the orthodontic business at PC.

The second payout Inc wants to pay itself for work it already does, would take place when they Inc. exits the bankruptcy. They say, when PC stops its fraud (orthodontics) practices, the “Great 8” will still be “required in order to complete the myriad of tasks associated with the successful restructuring of PC as a general dentistry practice”. They further stated the Debtors believe they have demonstrated sound business judgment in this process and should be granted their motion for bonuses. [Doc 90, paragraph 20]

The motion stated, Inc will continue to do as it did before they filed bankruptcy – manage PC. By management of PC, Inc listed “properly restructuring the general dentistry practice, along with negotiating and managing the implementation of the Corporate Integrity Agreement contemplated in the State Settlement Agreement.”

Here is exactly what is said in Doc 90, paragraph 9:

At the discretion of the Debtors' management, the second bonus payment will be payable upon the Debtors' successful exit from bankruptcy, as evidenced by this Court's confirmation of a plan of reorganization. After the Debtors facilitate PC's exit from the orthodontic practice, the services of the Key Employees will continue to be required in order to complete the myriad of tasks associated with the successful restructuring of PC as a general dentistry practice managed by Inc. These services include, but are not limited to, removing Inc. personal property, turning over the facilities to the respective landlords, reorganizing the management operations to support the different PC needs, record relocation and organization, identifying and installing processes and procedures associated with the State Settlement Agreement Requirements,4 identifying the executory contracts and leases to be assumed or rejected by the Debtors, developing financial projections, identifying the amount of exit financing necessary, working through the myriad of patient and employee uncertainty issues associated with the bankruptcy process and answering general questions associated with the plan and with the Debtors' business.

The “Great 8” employees of Inc. are:
John Bevill – Operations Director – West (Former District Manger at Kool Smiles)
Esther Castaneda – HR Manager
John Garry – Controller – (Previous with Lending.com – online mortgage broker)
Spring Helser – Doctor Recruiter – (used to work at CVS)
Diana Loft – Facilities Director – (PlainsCapital Bank, now at Chem-Aqua, left AS 7-2012 after 5 years of employment.
Michael Lozich – Chief Compliance Officer – LinkedIn page says he’s at Broadlane, Inc. since 2009, must need updating, here is press release he issued for All Smiles July 27, 2012)
John Morgan – VP of Information Technology – (Formerly Cano Petroleum, started AS in Aug. 2010)
Lisa Mullinix – Operations Director – East – (Former Regional Manager at Small Smiles)

Specifically the Motion told the court that the “…specific amount of the…payment each…will be eligible to receive will be based upon percentage of the …salary ranging from 15% to 25%.” They motioned for the details of the “Great 8” salaries and detail of the Management Incentive Bonus Plan be placed under seal by the court.

They further stated that, “seven of the Key Employees received offer letters upon the commencement of their employment proposing bonus payments consistent with this percentage of their salary. The remaining Key Employee did not receive such an offer letter. This Key Employee will be eligible to be paid a bonus at the low end of the percentage range.”

In other words, these employee were told they would receive bonuses when we hired them, and we still want to hand out bonuses, capeesh, Mr. Judge?

It was a great attempt to extort more money from the bank accounts of All Smiles Dental. However, 11 days later, On June 5, 2012, Inc. withdrew the Motion on June 5, 2012.

Imagine the danger All Smiles currently poses. Regional directors who were given lots of power and leeway from the top two Medicaid dental mills all under the Malouf roof! Shakes me to the core.

Lisa Mullinix was a Regional Director of Operations for Small Smiles Dental Centers. She is the person who came up with the “scripts” distributed to employees to stop parent from accompanying children back into the operatory.

Much more to come on Ms. Mullininx. Stay tuned.

Related:

All Smiles Dental - Motion to Implement Bonus Program for Staff During Bankruptcy Doc 90

Lisa Mullinix's script for office employees

Director and Chair of Oral and Maxillofacial Surgery at USC School of Dentistry and LA County/USC Medical Center under investigation over death of patient

I'm not trying to get into the politics between oral surgeons and dental anesthesiologists, but what I don't understand is if the dental anesthesiologists want stricter guidelines and they are not asking for it to be mandatory for an office to use a dental anesthesiologists, I don't see what’s the big deal.

I know that the problem mostly involves general dentists trying to play DA by upping dosages - clearly these are the people killing folks, but what harm can come from MORE SAFE PRACTICES?

Are Oral Surgeons afraid their pockets won't stay as fat! Sorry people, someone's life is a wee bit more important than getting rich, especially when you're going to loose all that dough eventfully when you kill someone like this dick weed.

California Dental Board Investigation - Dennis-Duke Yamashita

Anyone want to bet the only sanctions taken will be for record keeping?

Sunday, August 19, 2012

Who is Legally Liable in Texas’s Dental Drama?

Who's Legally Liable in State's Dental Drama?

The state's sweeping Medicaid fraud investigation into dentists and orthodontists accused of giving unnecessary treatments to poor children has left Texas attorneys with lots of questions.
Who’s accountable for the Texas orthodontic patients abandoned mid-treatment when the state pulled the plug on their doctors? Could the state be held legally liable for giving doctors permission to perform medically unnecessary dental procedures in the first place? And ultimately, does the state’s method of cracking down on providers — halting funding the moment an investigation is opened — grant sufficient due process to the accused, or could the government be counter-sued for destroying the businesses of providers later found innocent?

Looking for ways to curb the state's budget woes, lawmakers have directed health investigators to amp up their pursuit of fraud and to oust providers who purposefully filed medically unnecessary or fraudulent Medicaid claims. Many of the accused providers have their funding frozen, and can't treat Medicaid patients in the meantime. In the words of Sen. Jane Nelson, R-Flower Mound, “using patients to game the system – and then abandoning those patients when you get caught – is shameful abuse.”

NCDR, LLC–Kool Smiles looking to infect adult dental care in Texas-Under the name Resolution Dental

Kool Smiles and NCDR, LLC are venturing over into adult care in Odessa, Texas – buyer beware! Operating under the name Resolution Dental, they are seeking applicants and offering a $25k sign on bonus. Here is the job posting.
While the brakes were put on to the grand openings of their newest Medicaid mills in Texas, its full steam ahead for at least one Resolution Dental office.
They don’t want applicants to know who they are really going to be employed by as Paul has set up an innocuous email address -resolutiondentalhr@gmail.com
Most of the job have you contact Paul Court at 925-407-5383. Paul is a dentist recruiter for NCDR, LLC
Ncdr, L.L.C.
1575 Northside Drive Building 400
Atlanta, Georgia 30318
United States
www.ncdrllc.com
According to Zoom Info, Paul’s past employment consists of:
Employment History



  • Financial Services Manager Robert Half International Inc
  • Branch Manager Accountemps
  • Manager, Dental Staffing Kool Smiles P.C
  • General Manager U.S. Department of Education