Dentist accused of Medicaid fraud set for 2015 trial | Texas Medicaid is responsible for misspent dental funds, OIG says | Hundreds of thousands face loss of health coverage over immigration status
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August 14, 2014
NADP SmartBrief
News affecting dental benefits

Industry News
Dentist accused of Medicaid fraud set for 2015 trial
Ronald Ray Hungerbuhler, a dentist in Corbin, Ky., facing a seven-count indictment on Medicaid fraud charges, has had a fourth trial date scheduled, on April 13, after the first three trials failed to go through. Hungerbuhler, who was indicted at the end of 2009, is accused of falsely billing Medicaid for unprovided oral examinations and using the names of beneficiaries from a Corbin nursing home. Hungerbuhler faces up to five years imprisonment for each felony count. The Times-Tribune (Corbin, Ky.) (8/9)
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Texas Medicaid is responsible for misspent dental funds, OIG says
Millions of dollars possibly misspent by Texas Medicaid on unnecessary orthodontic and dental care was due to lax oversight, according to an HHS Office of Inspector General investigation. The Texas Health and Human Services Commission allowed contractor Xerox to approve procedures in violation of state policies, the OIG found. Texas has sued Xerox. Austin American-Statesman (Texas) (free content) (8/11)
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Hundreds of thousands face loss of health coverage over immigration status
As many as 310,000 people who signed up for health insurance through the federal marketplace have until Sept. 5 to provide additional documentation showing they are U.S. citizens or legal residents. If they don't, they will lose their coverage Sept. 30. The CMS has sent letters to the affected enrollees and will attempt to contact them by phone and e-mail. The Wall Street Journal (tiered subscription model) (8/12), The New York Times (tiered subscription model) (8/13)
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Dental school remains a possibility for Fla. university
The University of Central Florida Board of Trustees included a dental college in a recently approved capital improvement plan, but gave no indication of when the project could become a reality. The university previously planned to open a four-year dental medicine program by 2014 and said $50 million in private donations and loans would be required. Central Florida Future (University of Central Florida) (8/13)
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Oral Health
Technique offers new teeth in a half-dozen visits
A dentist in New Jersey is offering full dental implants in the course of about six visits. The dentist prepares replacement teeth over about four visits, then assembles a team comprising an anesthesiologist, an oral surgeon, a periodontist and a technician to implant the replacement teeth in a single visit. The dentist removes a provisional restoration and inserts a final one after about three months, and the patient is never toothless. Asbury Park Press (Neptune-Asbury Park, N.J.) (tiered subscription model) (8/11)
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High-acid beverages can cause permanent tooth damage
Drinking soft drinks, fruit juice and sports drinks high in acidity can cause permanent damage to the tooth enamel within the initial 30 seconds of contact, according to a study in the Journal of Dentistry. Highly acidic beverages combined with undiagnosed regurgitation or reflux and grinding of teeth at night "creates a triple threat to young people's teeth which can cause long-term damage," study author Dr. Sarbin Ranjitkar said. HealthDay News (8/11)
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Company News
CONVERGE presents Employer Coverage & Benefit Design in a Post-ACA Environment
Join NADP at CONVERGE 2014 for the Opening General Session, "Employer Coverage & Benefit Design in a Post-ACA Environment," presented by Vice President of Health Reform at Avalere, Caroline Pearson, Sept. 16 from 8:45 to 10:15 am. Following the launch of public insurance exchanges, some predicted that employers would drop coverage for their workers, causing large-scale shifts in the insurance market. However, data suggest most employers are evaluating their benefit decisions cautiously with only limited erosion of the market for part-time workers and early retirees. Read more and register.
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Reduce unwanted claims attachments and increase provider retention with NEA FastLook
Looking for a way to enhance your networks, increase provider retention and reduce unwanted claims attachments? The NADP-NEA FastLook™ Program is your answer! With FastLook dental offices find claims requirements for multiple carriers in one location. Encourage your network providers to sign up on the NADP website and receive this free service.
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Cleanliness becomes more important when godliness is unlikely."
-- P.J. O'Rourke,
American writer and political satirist
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