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Dental Provider Alert: ADA Requests FCC to Support Teledentistry

Since the declaration of a national public health emergency, oral health providers have postponed most non-emergent care, whether as required by state-issued directives, or as recommended by the Interim Guidance for Minimizing Risk of COVID-19 Transmission from the American Dental Association (“ADA”).  A recent ADA survey found that 80% of dentists are only seeing emergency patients at this time.  Teledentistry provides an avenue for dentists to furnish a variety of...

Toolkit for Healthcare Businesses in Financial Distress

As part of our firm’s commitment to staying abreast of COVID19-related issues affecting our clients, we are continuing to monitor financial relief program requirements and other important topics.  While applying for various forms of aid and loans, we urge you to also consider the variety of other ways to alleviate the financial impact of these extraordinary circumstances.  Examples include: Negotiating with vendors– Consider asking for extended net payment terms, i.e.,...

PROVIDER ALERT: CMS Issues Guidance Related to Payment for Services Related to COVID-19

On March 6, 2020 the Centers for Medicare & Medicaid Services (CMS) issued frequently asked questions (FAQs) and answers for healthcare providers and supplemented a February Public Health News Alert regarding Medicare payment for laboratory tests related to the 2019-Novel Coronavirus (“COVID-19”).  The FAQs also addressed payment for other related services. Highlights include: Laboratory Testing Starting in April, providers and laboratories performing the test for SARS-CoV-2can bill Medicare and other...

Legal Insight: Maryland Dentist Sentenced to Jail Time for Healthcare Fraud

A former dentist in the D.C. metro area was recently sentenced to 71 months' incarceration for engaging in an estimated $13.6 million health care fraud scheme. Bilal Ahmed owned and operated a dental practice, Universal Smiles. Following the suspension of his dental license by the D.C. Board of Dentistry, Ahmed opened and operated Dental Equipment and Service ("DES"), a Maryland company that employed dentists to work at Universal Smiles' former...

Fraud Prosecutions Target Dentists’ Billing Practices

On January 15, 2020, L.M.G., Inc., d/b/a TMJ & Orofacial Pain Treatment Centers of Wisconsin ("LMG") agreed to a $1 million settlement to resolve allegations that it violated the False Claims Act. LMG operates four clinics that specialize in temporomandibular joint disorder and often prescribed oral appliances to stabilize or reposition patients' jaws. However, the U.S. Attorney's Office alleged that LMG submitted false claims to Medicare and TRICARE as the...