Tuesday, January 31, 2017

Put dental patients’ care ahead of corporate profits

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  • By Jennifer King  Jan 30, 2017
  • Debate in Olympia regarding operation of corporate dental chains might seem to matter only to those directly involved, with little impact on the public in Yakima.

    That’s not the case. The outcome will have a dramatic impact on the quality of care received by dental patients here and across the state.

    Corporate chains, or Dental Service Organizations (DSOs), operate in Washington under names like Aspen Dental, Modern Dental, Bright Now, and Gentle Dental. But they do so in a gray area outside of the oversight of the state regulators.

    They’re now pushing legislation to give themselves virtually unlimited authority to continue operating here, with no regulatory oversight.

    As a practicing dentist, this worries me. Not because corporate chains represent new competition, and not because there’s anything inherently wrong with a dentist contracting for administrative support. As dentists, we should be open to models than deliver better patient care.

    But that’s not the case with DSOs. Based on my 18 years of practice, the best care results when decisions are made solely by the patient and his or her dentist. Interference in the doctor-patient relationship by third party, for-profit corporations can lead to inferior care or overtreatment, or both, and should not be allowed.

    Read the entire article by Dr. Jennifer King here

    Monday, January 30, 2017

    WTH! DentaQuest Texas Offer’s $10 Walmart Gift Cards

    DentaQuest Texas, yes the same one that ran for the hills just two years ago is back and offering $10 WalMart card to patients! Besides being an MCO don’t they also own some clinics? Didn’t MB2 just get nailed for this same practice? What am I missing? They aren’t offering it in NM, or TN or CO, or any other place I can find. Only Texas.

    Dental Quest kickback

    Thursday, January 26, 2017

    In 2011 the MB2 Dental Solution clinics brought in roughly $50,000,000.00 seeing roughly 350,000 patients.

    Maybe they just didn’t have this sign up at the time.  The hotline number could be the direct line to payroll to request a bonus check too, I suppose.

    MB2 internal fraud poster(2)

    Excluded and Unlicensed New Jersey Dentist Who Assumed Identity of Another Dentist Agrees to Settlement of $1.1 Million and 50-Year Exclusion to Resolve Civil Monetary Penalty Case

    January 23, 2017

    Contact: HHS OIG Media Communications
    Media@OIG.HHS.GOV

    Washington, DC - Unlicensed New Jersey dentist Roben Brookhim agreed to pay $1.1 million and accept a 50-year exclusion from participating in Federal health care programs as part of a settlement to resolve his administrative liability for presenting false claims to Medicaid, billing for services furnished by an excluded person, and owning and controlling a Medicaid-participating entity while he was excluded, the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) announced today.

    "Fifty years is one of the longest exclusion periods ever imposed by our office," said Gregory E. Demske, Chief Counsel to the HHS Inspector General. "This period of exclusion, coupled with the significant monetary recovery, is an appropriate resolution for an individual who went to such great lengths to defraud a Federal health care program and put patients at risk," said Demske.

    OIG alleged that from November 2005 through October 2012, Brookhim owned, controlled, and managed Associated Dental NP, LLC (ADNP), a New Jersey dental practice with multiple locations, in violation of his exclusion from Federal health care program participation in August 2000.