Friday, January 21, 2011

Concealing Ownership? Good Idea? No

According to the List of Excluded Individuals and Entities (LEIE) it was March 2010 before William A. Mueller, DDS, one of the founders of Small Smiles Dental Centers was excluded from the Medicaid program.

It was August 2010, before Michael A. DeRose, former DDS and another co-founder of Small Smiles Dental Centers was excluded.  Why? Why did it take so long? 

However, now that each of these individual are excluded, it would be illegal for either to hide under a stack of corporations concealing their ownership and control of any clinic or facility that bills Medicaid for services.  Just saying.

Don't believe me, see NY-AG press release July 16, 2009.

So, your doing a procedure …

…you are not legally authorized to perform.  Say an office manager, cleaning teeth!  

as seen here:

Are you committing Medicaid Fraud?  Yes you are!  Did you f you bill Medicaid under another person's name?  Do you have an NPI number?  What about a Medicaid provider number?  

Don't believe me, see NJ-AG press release July 14, 2009.

To understand more as well as the extent of heath care fraud, read the October 27, 2009 Department of Health Policy report, titled "Health Care Fraud" by Sara Rosenbaum; Nancy Lopez' and Scott Stifler.