Texas Medicaid Dental Fraud

Texas Medicaid Dental Fraud: Is the State Partly to Blame?

Dental Audits & Compliance /

(August 12, 2014): Texas Medicaid dental fraud has been an ongoing concern of both federal and state law enforcement agencies. As set out in an August 2014 report titled “Texas did Not Ensure that the Prior Authorization Process was Used to Determine the Medical Necessity of Orthodontic Services,” the U.S. Department of Health and Human […]

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Investigations of Medicaid Dental Fraud in Texas

Dental Audits & Compliance /

(July 1, 2014): Law enforcement authorities are actively investigating and prosecuting health care providers for crimes based upon allegations of Medicaid dental fraud in Texas. When looking for fake billing to the Medicaid program, investigators have historically targeted hospitals and doctors, but increasingly dentists have come under watch. In Texas, new measures have been adopted

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