Thursday, August 28, 2014

Is Dr. Michael Tarver losing it again?

Has Dr. Michael Tarver lost it again? An email this week from a family member of a 4 year old little girl seems to indicate Dr. Tarver’s abusive behavior continues.

“She is very well behaved, obedient and we always receive compliments in public on this. He yelled at her stating things like "If you won't open your mouth I'll do it for you!" My sister (her mom) was forced out of the room and my niece later revealed she was strapped down. Every time she gets still enough to let her mind wander she recants it and cries saying "Mommy I can't believe they hurt me".

Whom do I hold responsible? The regulators! They had him by the private parts and gave his access to innocent children and Medicaid dollars to support his lifestyle.

The regulators and investigators:

It was just less than a year ago, on September 4, 2013 when the Florida Department of Health issued an Emergency Suspension of Licenses against Dr. Michael Addair Tarver. Several reports from parent about Dr. Tarver and his wife detailed the outrageous behavior including altering patient records and abusive treatment of young patients. Police have been called to his office on several occasions.

Excerpts from various reports at the time:

I remember the patient because she was so badly misbehaved. She ran down the hallway kicking and screaming at the dental staff.  I didn’t put my hands over her mouth. The child had to be sedated due to her extremely poor behavior.”  Tarver was not charged, according to OPD, he had not committed any criminal offences.

“June 26, 2013 OPD received a complaint about a child that received a 1-1/2″ laceration in the middle of his forehead.  Tarver “claims” the child tripped over his own feet causing him to fall and hit his head. Tarver did not call EMS. When questioned by OPD Tarver said, “I am Emergency Medicine Certified, therefore I did not feel the need to contact EMS.” OPD notified DCF upon this investigation due to OPD being called out multiple times starting in June of 2012. The injury did require stitches.”

“In one incident a parent said that Tarver placed his hand over the nose and mouth of her child until the child lost consciousness.”

Florida State Attorney, Bill Gladson said his office was asked to investigate and said in an interview:

"Based on the evidence available, it was decided that no single allegation, if proven as alleged, would constitute the crime of child abuse such that any conviction could be sustained on appeal. This office did not review, and was not asked to review, any matter being investigated by the Department of Health or the Board of Dentistry,

Friday, August 22, 2014

Golly Gee..this is just shocking! NOT!

Anyone what to take a guess who the employs these unnamed dentists?  Kool Smiles and ReachOut have operations in Louisiana….just saying…

 

Feds look at Louisiana dentists for kids on Medicaid

By JANET McCONNAUGHEY

Associated Press August 20, 2014

NEW ORLEANS — About 5 percent of the Louisiana dentists treating children under Medicaid may be padding their numbers, overcharging, providing unnecessary treatments or even harming children, according to a federal study released Wednesday.

Auditors for the Department of Health and Human Services checked 512 dentists and 41 oral surgeons. Twenty-six dentists and one oral surgeon — paid a total of $12.4 million for pediatric dental work in 2012 — billed for extremely high numbers of children or amounts of money or showed other possible excesses, according to the report from department inspector general's office.

Some of the bills may be legitimate but they warrant scrutiny, said a copy of the report provided to The Associated Press before its general release.

"Some of these cases are pretty alarming," said Calder Lynch, chief of staff for Louisiana's Department of Health and Hospitals. He cited doctors with high numbers of fillings and "baby root canals," or pulpotomies. According to the report, one dentist billed for 31 procedures, including 13 pulpotomies, four fillings and 10 stainless steel crowns on one 3-year-old — all during the same visit.

Lynch said he believes many of the dentists described in the audit are among more than 20 his department is already investigating. It recently hired a second dental technician to go over records and will check all 27 people as soon as the federal department sends their names, he said.

That list was "still going through internal processes" Tuesday "but will most certainly be provided," Janna Raudenbush, spokeswoman for the Office of Inspector General, said in an email.

State Medicaid Director Ruth Kennedy wrote in a July 24 response included with the report that, as a result of the study, DHH hired Managed Care of North America on July 1. The company will manage dental benefits under Medicaid and the state's Bayou Health program — an insurance-based model that covers 900,000 of Louisiana's 1.4 million Medicaid recipients, mostly pregnant women and children.

The report said the 512 dentists averaged $264 per child, but six billed for more than $663 per child.

"These dentists received more than $2,000 per child for a total of 237 children," and one was paid $8,000 for work done on one child over three visits, the report said.

"Extremely high payments raise concerns about whether these dentists are billing for unnecessary services or services that they did not provide," the auditors wrote.

Overall, the dentists averaged 27 procedures such as cleaning, extraction or X-rays per day, but three billed Medicaid for 146 or more per day. One billed for 376 services in one day, the report said.

"If this dentist spent only 5 minutes performing each service, it would have taken over 31 hours to complete all these services," the auditors noted.

The auditors also checked on specific procedures, such as extractions, fillings, stainless steel crowns and pulpotomies. On the average, the dentists pulled out teeth from 11 percent of the children they saw, but six dentists extracted teeth from at least 40 percent of the children and one did so on 70 percent of the children he treated. Dentists who filled teeth did so for one-third of the children, but one did so for 92 percent.

The audit looked at Louisiana dentists and oral surgeons who billed Medicaid for at least 50 children in 2012.

One-third of the dentists worked for two dental chains, it said. The report did not identify the chains.

The DHHS report is the second in a series of state reports; the first found similar patterns in 23 of 719 dentists in New York State. That's about 3.1 percent.

The state reports are not being done in any particular order, Raudenbush wrote.

---

Online:

http://oig.hhs.gov/oei/reports/oei-02-14-00120.pdf

http://new.dhh.louisiana.gov/

Read more here: http://www.thestate.com/2014/08/20/3629464_feds-look-at-la-dentists-for-kids.html?rh=1#storylink=cpy

Two audit reports in 2 years… Hmmm…. So they should get this done in say… the 48 years!!! Unacceptable! 

Here is wherein a major flaw in reports fall… NO NAMES! That’s why the public doesn’t know the dangers of what lurks behind the doors and criminal keep setting up another shop! Aren’t investigators tired of chasing the same damn criminals!

Thursday, August 07, 2014

Dr. Michael Davis’ Series on Dental Scams- Parts I and II

 

Scams played on dentists: Part 1

By Michael W. Davis, DDS, DrBicuspid.com contributing writer

July 30, 2014 -- In a new three-part series, Michael W. Davis, DDS, details some of the ways dentists and dental offices are vulnerable to scams. This first part will introduce the series and discuss embezzlement and scams that are played on vulnerable employee dentists.

Dentists are played as marks for scams for several reasons. First, we are targeted because our earning potential is much higher than the general population. Traditionally, dentists have often operated in an isolationist bubble and often confer with colleagues on nonclinical matters only in unusual situations. The demanding focuses of the technical aspects of our profession often preclude us from closer examination of what may be obvious to others. We have blind spots. We are vulnerable.

Recently, courageous leaders in the dental profession such as Drs. Gordon and Rella Christensen have openly discussed embezzlement actions against them. These disclosures help dissolve any shame or guilt that other doctors/victims may carry. No one enjoys admitting they were scammed. However, open disclosures by victims help erode the smokescreen, which perpetrators depend on to pull off their scams.

Embezzlement

Embezzlement and employee theft against an owner/doctor can take many forms. The ADA estimates about a third of all dental offices will be or have been victims of embezzlement. Experts in systems management to prevent and investigate dental office embezzlement and fraud say estimates are greater than 50%. Regardless of the exact number, these risks are very real and potentially devastating to a dental practice.

The exact method of the scam can take on enough discussion to fill several volumes of books. In a common method, the office manager, who is generally valued and trusted beyond reason, pockets office receipts. These may be cash payments from patients that the office manager writes off.

Read the Rest of Part 1 on Dr. Bicuspid

 


 

Scams played on dentists: Part 2 -- Consultants and practice brokers

By Michael W. Davis, DDS, DrBicuspid.com contributing writer

August 6, 2014 -- In the second of a three-part series, Michael W. Davis, DDS, details some of the ways dentists and dental offices are vulnerable to scams. This part discusses unethical practice management consultants and practice brokers.

Who doesn't receive via email, fax, telephone, or mail a solicitation from a dental practice consultant on a weekly basis? As a young doctor, I saw many that would promise the "Million Dollar Practice." Today, those figures have grown to the $8 million, $10 million, or $12 million practice. The promises are ridiculously laughable. As the man once said, "If it seems too good to be true, it is."

A number of big-name consultants spend a great deal of time with legal actions brought forth from dissatisfied doctor clients. Using a boilerplate formula from a household name consultant has brought many a dental practice to bankruptcy or near bankruptcy. They may also have multiple endorsements from organized dentistry, which today is little more than paid advertising.

Simply because a consultant has exposure, with prolific publication of consulting articles, does not ensure his or her competency to manage the unique specifics of your dental office.

Here are some suggestions.

  1. Do a background check on former doctor clients who the consultant has served. Do they have philosophies and goals similar to yours? What were the specific objectives? Were goals met?

Read the Rest of Part II on Dr. Bicuspid

Sunday, August 03, 2014

Another Squabble with CSHM, Small Smiles Dental Centers and Owner Dentists—Small Smiles Reno—Who is extorting who?

I seldom tire of the spin found in legal pleading between owner dentists the illegal dental management companies such as CSHM but honestly it’s getting old.

Now that Dr. Jodi Kuhn purchased her clinics again and seems to have continued with business as usual in Colorado. Another turd has been thrown in the CSHM punchbowl by “owner dentist” Dr. James Mann in Reno, Nevada.  Dr. Mann was hired in October 2, 2006 and I’m positive he can be located as an employee of one of CSHM entities if someone looked.

 Dr. Mann filed suit against CSHM in May 2014.  The case was filed in Second Judicial District Court of the State of Nevada-Washoe County.  In like fashion, CSHM has filed a Complaint against Dr. Mann and Small Smiles Reno and asked for a Temporary Restraining Order. This was filed filed in Davidson County Tennessee Court on July 22, 2014.

In Dr. Mann’s lawsuit he claims he owns the Small Smiles clinic and is suddenly—after just shy of 8 years of employment—”concerned that CSHM’s heavy-handed control of Small Smiles is violating Nevada’s laws and regulations.”

I find It laughable that Dr. Mann is just now  “concerned”.  The public and government agencies have been concerned since 2004! How does Dr. Mann explain this?image

Mann claims despite all the name changes—FORBA, Church Street Health Management, CSHM, etc.— many of the same key employees have remained as has their illegal business practices.  (Well, of course, thorn is a thorn by any other name.)

Mann says, “CHSM has continued Church Street’s practices” and “Indeed, many of the personnel associated with Church Street continued to work for CSHM

He claims:

  • Dictated the hours that Dr. Mann and Small Smiles should be open for business.
  • Imposed pressure on Dr. Mann and Small Smiles to schedule more patients.
  • Decided which equipment Dr. Mann could purchase for Small Smiles
  • Insisted on certain dental procedures over others
  • Set. Dr. Mann’s compensation.

Here is a statement that raises HUGE red flags and give me great concern:

Monday, July 14, 2014

No Action taken against “Creepy” jury stalker, Attorney Scott Greenspan.

Somehow Greenspan thinks “no action” being taken translates to “complete exoneration”. Stop laughing!

Syracuse, NY -- A Manhattan lawyer accused of stalking an Onondaga County jury on behalf of insurance giant AIG won't face discipline by a court system panel, according to the New York Law Journal.

State Supreme Court Justice Deborah Karalunas threw out the verdict in a lawsuit against Small Smiles in November 2013 after ruling that lawyer Scott Greenspan had prejudiced the jury. The jury found no wrongdoing against the now-defunct dentistry accused of malpractice it its office on South Geddes Street.

Karalunas had described Greenspan's actions as 'creepy' and 'seedy' in her Nov. 18 decision.

But Greenspan called the decision by the court's disciplinary committee a "complete exoneration," the law journal reported. Greenspan said the accusations turned his professional career upside down. He's now looking for a new job.

Read entire article here

 

Related:

'Creepy' jury stalker hired by insurance giant AIG forces retrial in Syracuse dentistry malpractice case

Friday, July 04, 2014

Small Smiles guilty of abusing children, but jury awards nothing to injured children. WHAT!

By Douglass Dowty | ddowty@syracuse.com
on July 03, 2014 at 3:35 PM, updated July 03, 2014 at 3:44 PM
Syracuse, NY -- A Syracuse dentistry is guilty of malpractice and negligence in the care of four young patients, but will not have to pay the families for injuries, a state Supreme Court jury ruled.
That means that while Small Smiles mistreated patients at its South Geddes Street clinic, the injuries did not reach the threshold for compensation, said Richard Frankel, a Texas attorney who represented the patients' families.

The split verdict sets the tone for a huge backlog of lawsuits against Small Smiles. There are 30 other children statewide -- five more in Syracuse.

Complaints against Small Smiles date from 2005 to 2009. The Syracuse office closed in 2012 after the owner filed for bankruptcy.

Before the jury verdict, state Supreme Court Justice Deborah Karalunas ruled that Small Smiles violated state law as a dentistry by being owned by a corporation and not a dentist, Frankel said. …
Read Article Here





Monday, June 09, 2014

Settlement reached between “owner dentist” Jodi Kuhn and CSHM/Small Smiles Dental Centers

What that settlement is remains unknown. Here is the latest entry on the court docket, dated June 3, 2014.

ORDER: The court has been notified that this case has settled. It is hereby ORDERED that a stipulation of dismissal or other settlement document shall be filed within thirty (30) days of the entry of this Order.

The preliminary injunction hearing set for June 5, 2014, and the initial case management conference set for June 6, 2011, are CANCELLED.

Sunday, June 08, 2014

Revisiting 2009 MassHealth Independent Audit Report

Revisiting 2009 MassHealth Independent Audit Report; not much has changed.

  • Audit report for period July 2005 – May 2009
  • Dental Program claims processing system has resulted in millions of dollars in ineligible claims and potential fraudulent claims being paid.
  • Only 15.7% of radiograph claims met requirements.
  • 84.3% of radiographs (x-rays) by 10 providers (3 Small Smiles and 3 Kool Smiles) failed to meet requirements
  • Radiographs (X-rays) claims paid to 3 Small Smiles clinics and 3 Kool Smiles clinics totaling $3,09,172 were unallowable.
  • DentaQuest (f/k/a Doral Dental) Senior Dental Director stated providers “treat to the benefits allowed and not member’s need)
  • 3 Kool Smiles and 3 Small Smiles clinics routinely gave members bitewing radiographs contrary to FDA recommendations.
  • Small Smiles said in 2009 they implemented a new dental protocol that included the 2004 FDA recommendations.
  • DentaQuest contract required them to identify standards of care based on published recommendation of nationally recognized authorities such as the AAPD.
  • DentaQuest contract required it to monitor providers’ compliance with the AAPD guidelines.
  • MassHealth failure to adequately control orthodontic services resulting in $321,553 overpayment to just one provider.
  • DentaQuest failure to adequately monitor claims was widespread.
  • Many cases of double billing and double payments

MassHealth Dental Audit 2006-2009 by Dentist The Menace

Saturday, June 07, 2014

Remember Allcare Dental?

With corporate dentistry taking over the world, it’s good to remember Allcare who closed it’s doors overnight in January 2011 leaving patients without care or recourse, and dental boards scratching their..uh.…heads.

A class action lawsuit was filed and just like the Allcare’s doors, patients were left lock-jawed.

Allcare Dental Class Action Lawsuit

imageThe Allcare companies filed for bankruptcy in the Western District of New York (Buffalo), Bankruptcy Petition #: 1-11-13848-CLB.  Those proceedings terminated in 2013 with a report of no distribution.  As such, there are no available assets from these entities for unsecured creditors.

You may have individual claims.  Once the class action claims are dismissed, the statute of limitations for your claims will continue to run.  You should contact an individual attorney in your state if you desire individual representation.  Failure to file within the applicable statute of limitations will forever bar your claims.  We are not handling these claims given the no-distribution report.

http://www.allcaredentalclassaction.com/uploads/Allcare-Dental-Class-Action-Complaint-filed-2-7-2011.PDF

Allcare patient speaks about ordeal in 2012.

http://www.abc57.com/home/top-stories/ALLCARE-DENTAL--162156285.html