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(January 13, 2026): As the great Yogi Berra once said, “It’s tough to make predictions – especially about the future.” This maxim is especially true when it comes to forecasting the specific dental claim risk issues that will be the focus of private payor Special Investigation Units (SIUs) in 2026. Nevertheless, we are going to […]
Delta Dental Audits Will Increase in 2026. Is Your Practice Ready? Read More »
(October 16, 2019): A Federal District Court Judge recently sentenced a Murfreesboro, TN dentist to prison and ordered that he pay restitution to TennCare (Tennessee’s Medicaid program). Regrettably, the types of improper billing practices cited by the government in the criminal Information filed against the defendant dentist aren’t that uncommon. This recent prosecution serves as
(May 15, 2017): Over the last decade, both state and federal law enforcement agencies have aggressively investigated and prosecuted instances of Medicaid dental fraud. In recent years, these efforts have been widely implemented (and expanded) by private payor Special Investigative Units (SIUs). One dental benefits program in particular has been especially active in this regard
Delta Dental Audits are Ongoing Around the Country. Are You Prepared? Read More »
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