Dental Fraud in Medicaid

  • Steve Nesnidal, MD, CPC, AHFI
  • May 09, 2023
  • Comments
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A multi-million dollar dental fraud scheme provides an example to the benefits of having fraud, waste, and abuse (FWA) protection. Click to learn more.

Dental FWA – Upcoding, Misrepresentation and Diagnosing Unnecessary Treatment

  • Cindy Gallee, JD, RHIA, CHC
  • Jan 16, 2018
  • Comments
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Dental fraud, waste, and abuse (FWA) is often unchecked as most Payer’s dental insurance line represents 10% or less of their total business. The National Health Care Anti-Fraud Association (NHCAA) estimates $68 to $226 billion is lost annually to Fraud, Waste and Abuse (FWA). This means up to $ 22.6 billion in FWA is overlooked annually.


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