Dental Fraud

5 common billing practices that may be fraud - Delta Dental

Common fraudulent billing practices · Billing for services not performed or not completed. · Waiving deductibles or copayments. · Altering dates ...

Preventing fraud and abuse - American Dental Association

Keeping your dental practice in compliance with fraud and abuse regulations such as the Federal Anti-Kickback Statute.

Common Illegal Dental Billing Practices — SuperDial Blog

Dental billing fraud encompasses a range of illegal practices aimed at deceitfully increasing reimbursements from insurance providers or charging patients for ...

Dental fraud and abuse | Sun Life U.S.

We have developed a program designed to significantly raise the awareness of our members, employers, brokers and network providers concerning dental fraud.

Dental Fraud: A Multi-Faceted International Crime Problem - ACFE

Dental fraud harms everyone from beneficiaries and providers to dental companies and the dental industry at large. This fraud increases the ...

Fraud and abuse | Delta Dental

We use various processes to help us uncover fraudulent behaviors and prevent fraud from driving up the cost of our plans.

Responsibility for Billing Records and Accounting

For example, in dentistry, a charge of fraud, either civil or criminal, can be brought against a dentist who signs off on notes in a patient's record that ...

4 common dental insurance mistakes that can lead to fraud [Free ...

This article will walk you through 4 simple mistakes that are seen as fraud, and our Dental Fraud Prevention Guide: From the Experts in the DCS Knowledge ...

Dentist Accused of Fraud for Waiving Amounts Due After Insurance

Dr. F normally charged $1850 per crown, but agreed to accept the plan's allowance, which was 80% of the area's usual and customary (U&C) fee.

Will you make the 'most wanted' list for dental insurance billing fraud?

A simple definition of dental fraud is intentional deception or misrepresentation of treatment facts to gain unauthorized benefits.

Dental Fraud - JOHN HOWLEY, ESQ.

The reward can range from tens of thousands of dollars, to hundreds of thousands of dollars and even millions of dollars in some cases.

The Legal Consequences Of Committing Dental Billing Fraud

Dentists, hygienists, and billing staff who engage in fraudulent billing practices can face fines, repayment of overpayments received, imprisonment, and loss ...

I think my dentist committed dental fraud? : r/legaladvice - Reddit

You need to look at your EOBs to find out exactly what the dentist billed for and how much your insurance paid. Getting a total from either of ...

Houston dental clinic operator convicted in $6M pediatric fraud ...

A 68-year-old man has pleaded guilty in a $6 million Medicaid fraud and kickback scheme, announced US Attorney Alamdar S. Hamdani.

Insurance Fraud Basics | Delta Dental of New Jersey

Insurance fraud is a crime and there is a great chance of getting caught. The consequences are very serious, including fines and prison time.

12 Dental Fraud Red Flags You Need To Look Out For

Dental fraud is any act of intentional deception or misrepresentation of dental treatments in order to gain unauthorized benefits.

Dental Fraud Schemes Uncovered - Compliancy Group

We also covered two Medicaid fraud schemes, one resulting in billions of dollars in billing for medical supplies that were never received.

Fraud and Abuse | Delta Dental of Michigan

Fraud is the intentional deception or misrepresentation of facts, knowing that the deception could result in unauthorized benefit or payment.

Worcester-Based Dentist And Practice Indicted In $2 Million ...

Worcester-Based Dentist And Practice Indicted In $2 Million Medicaid Fraud And Larceny Scheme. AGO's Investigation Alleges Defendants Billed ...

Three charged in $6M pediatric dental fraud scheme

A superseding indictment has been unsealed charging an operator and two managers at a local dental clinic for their roles in a $6 million Medicaid fraud and ...