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Components of an Effective Dental Compliance Plan
Components of an Effective Dental Compliance PlanI. What is a Dental Compliance Plan? To be fair, when most dentists and oral surgeons think of a “Dental Compliance Plan,” it wouldn’t be...
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As Medicaid RAC Audits Increase, so Does the Importance of Dental Compliance
As Medicaid RAC Audits Increase, so Does the Importance of Dental ComplianceWhy is Dental Compliance So Important? As previously reported, Medicaid RAC contracts have been awarded in 26 states, and...
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Texas Medicaid Dental Claims Under Scrutiny
Texas Medicaid Dental Claims Under ScrutinyI. HHSC-OIG Audit of Texas Medicaid Dental Claims: Texas dentists, orthodontists and oral surgeons are under considerable scrutiny by the government,...
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Returning a Medicaid Dental Overpayment: Part I
Returning a Medicaid Dental Overpayment: Part II. A Practice’s Obligation to Repay a Dental Overpayment is Long-Standing While considerable attention has been paid to the Affordable Care Act...
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Returning a Medicaid Dental Overpayment: Part II
Returning a Medicaid Dental Overpayment: Part IIYesterday we discussed issues surrounding returning an identified dental overpayment to Medicaid or other payors. Below is Part II of this article. VII....
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Dental Audits: the New Enigma?
Dental Audits: the New Enigma? The Rise of Dental Audits (July 11, 2012): For many years, government fraud and abuse contractors have focused their efforts on primary care physicians, hospitals, DME...
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Dental Practices Should Exercise Care Before Adopting Cloud Computing.
Dental Practices Should Exercise Care Before Adopting Cloud Computing.(December 30, 2012): Generally speaking, from the standpoint of a dental practice, “Cloud Computing” involves the use of an offsite...
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A “Credible Allegation of Fraud” Related to Medicare or Medicaid Services...
A “Credible Allegation of Fraud” Related to Medicare or Medicaid Services Will Result in Your Dental Practice Being Placed on “Suspension” or “Payment Hold.”(December 31, 2012): Over the last year,...
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ZPIC Audits of Specialty Dental Practices are Here! Is Your Dental Practice...
ZPIC Audits of Specialty Dental Practices are Here! Is Your Dental Practice Ready?(January 18, 2013): Specialty dental practices around the country are receiving audit letters from “Zone Program...
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The False Claims Act: Is Your Dental Practice at Risk?
The False Claims Act: Is Your Dental Practice at Risk?Dentists and orthodontists participating in Medicaid should develop and implement and effective Compliance Plan. (August 15, 2013): The primary...
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Medicaid Dental Audits: Medicaid Dentists are Under the Microscope. Are Your...
Medicaid Dental Audits: Medicaid Dentists are Under the Microscope. Are Your Dental Records Complete and Accurate?Medicaid Audits of Dental Records are on the Increase. Is Your Practice Ready?...
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Medicare Dental Services: Take Care to Ensure that Your Hospital Outpatient...
Medicare Dental Services: Take Care to Ensure that Your Hospital Outpatient Dental Services Meet Medicare’s VERY Limited Coverage Requirements Before Billing the Program.(December 4, 2013): Generally,...
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Medicaid Dental Fraud: Dentist Alleged to Have “Systematically Bilked” the...
Medicaid Dental Fraud: Dentist Alleged to Have “Systematically Bilked” the State in Dental Fraud Scheme.(December 23, 2013): A recent state audit of a Massachusetts dentist has reportedly uncovered...
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Medicaid Dental Fraud: New Hampshire Dentist Indicted on Nearly 200 Counts of...
Medicaid Dental Fraud: New Hampshire Dentist Indicted on Nearly 200 Counts of Medicaid Fraud.Dentists around the country are being audited by State MFCUs. Are your billing practices compliant? Avoid...
View ArticleTBDE Update: Texas State Board of Dental Examiners
TBDE Update: Texas State Board of Dental Examiners(November 11, 2013): TBDE Update- The Texas Legislature first provided for licensure of dentists in 1897, whereby district judges were empowered to...
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Returning a Medicaid Dental Overpayment: Part II
Returning a Medicaid Dental Overpayment: Part IIYesterday we discussed issues surrounding returning an identified dental overpayment to Medicaid or other payors. Below is Part II of this article. VII....
View ArticleTBDE Update: Texas State Board of Dental Examiners
(November 11, 2013): TBDE Update- The Texas Legislature first provided for licensure of dentists in 1897, whereby district judges were empowered to appoint a Board for their districts consisting of...
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Investigations of Medicaid Dental Fraud in Texas
(July 1, 2014): State and federal authorities are avidly investigating and prosecuting health care providers for crimes based upon allegations of Medicare or Medicaid Fraud. When looking for fake...
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Medicaid Dental Fraud: Is the State of Texas Partly to Blame?
Medicaid Dental Fraud: Is the State of Texas Partly to Blame? (August 12, 2014): As set out in an August 2014 report titled “Texas did Not Ensure that the Prior Authorization Process was Used to...
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Dental Fraud Settlement — $5.05 Million to be Paid by Oklahoma Dental...
Dental Fraud Settlement — $5.05 Million to be Paid by Oklahoma Dental Practice in Medicaid Case. (November 10, 2014): Dental fraud investigations and audits are becoming increasingly prevalent...
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