Medicaid Dental Claims

Medicaid Dental Audits: Exclusion Screening Issues

(January 22, 2015): Medicaid dental audits have greatly expanded over the past few years. As many (if not all) dentists and orthodontists are painfully aware, the both federal and state law enforcement agencies have doggedly pursued Medicaid dental providers in their efforts to recoup funds paid to dentists and orthodontists for the provision of medically […]

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Returning a Medicaid Dental Overpayment: Part II

(April 25, 2012): Yesterday we discussed issues surrounding returning an identified dental overpayment to Medicaid or other payors. Below is a continuation of this discussion. Dentists, oral surgeons and their staffs may ask “What types of actions might constitute an “identified” dental overpayment?” That’s a fair question, especially since the Affordable Care Act does not

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What are a Dentist’s Medicaid Overpayment Obligations? Part I

(April 24, 2012): While considerable attention has been paid to the Affordable Care Act (generally referred to as “Health Care Reform”) and its requirement that “identified overpayments” be promptly repaid to the government, it is important to keep in mind that this repayment obligation is not new – it has long been firmly in place.

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Texas Medicaid Dental Claims Are Under Audit Scrutiny

(April 23, 2012): Texas dentists, orthodontists and oral surgeons are under considerable scrutiny by the government, and most practices don’t even realize it. This article examines several one of the current tools being used by the government to calculate the alleged amount of “damages” (improper claims) paid to dental providers by the State under Medicaid.

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