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In the fall of 2012, as part of an investigation examining Medicaid fraud in Texas, the state Medicaid program began auditing All Smiles. [4] The Federal Government charged Malouf with fraudulent Medicaid billing for four years ending in the year 2007; the charges did not include his large Medicaid brace expenditures. [7]
In 2010 records from the State of Texas stated that the company collected $9.6 million in Medicaid funds. In 2010 it was the second-largest biller for dental braces under Medicaid in the state. [6] On February 17, 2012, the State of Texas placed a payment hold on the company. [7]
In 1985, Medicaid patients made up 28% of all CHC patients but only 15% of CHC revenues. [5] By 2007, the share of Medicaid patients matched their share of revenues. In the same time period, grants for the uninsured decreased from 51% to 21%. [5] In 2008, Medicaid payments had grown to account for 37% of all CHC revenues. [4]
A billing address is important as it protects you from identity theft or other types of credit card fraud. As addresses are not usually printed on your debit or credit card, this would be ...
Conflicting information, computer systems not working, denials before verification and more problems come to the surface from whistleblowers, advocacy groups.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
While Concentra is currently the product of a number of mergers, the original company was OccuSystems Inc., founded in Amarillo, Texas by Dr. Richard Rhem in 1979. [2] After completing his residency and moving to Buffalo, Wyoming to practice family medicine for three years, he opened a practice in the underserved Amarillo, which he thought presented an opportunity. [2]
The Health Insurance Premium Payment Program (HIPP) is a Medicaid program that allows a recipient to receive free private health insurance paid for entirely by their state's Medicaid program. A Medicaid recipient must be deemed 'cost effective' by the HIPP program of their state. Ultimately, the program was made optional, and its use is minimal ...