Even more than money … what about the standard of care? This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column for more expert insights from our network of providers, investigators, and fraud experts. This article points out another violation of law related to dental misconduct in addition…
Over the past few weeks, we have been blogging and posting about the “red-headed step-child” of healthcare fraud, dental fraud. One of our retired OIG agents recently heard this tale, which bears repeating: At a recent visit, his mother was told by the treating dentist that she had a gum infection and needed to see…
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of dental fraud from real cases! This article points out some basics of dental misconduct – fraud. A dentist who bills for services not performed is committing fraud. For example, billing for the…
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of dental fraud from real cases! This article points out a unique aspect about dental fraud that has significant impacts on the dental office and the dentist who practices there –…
Our Founder and Managing Director Jeanmarie Loria sat down with retired OIG Special Agent Eric Rubenstein to discuss dental fraud, unscrupulous dentists, and the claims-related intricacies of the dental industry. Here’s how it went… JL: My aunt in California paid an additional $10 for personal protective equipment (PPE) on top of her dental visit. Other members…
Next Week On The Blog: Jeanmarie Loria sits down with her partner Eric Rubenstein, retired OIG Agent, to ask him why he had more cases on pharmacy pain management and DME than dental fraud. Dental fraud stinks worse than the most severe case of halitosis. Picture this. Brooklyn NY 1960. All 5 of…
As an auditing firm, we are well aware that dental fraud is alive and well in the American healthcare system. With so many American children covered by Medicaid, dentists have taken it upon themselves to begin offering unnecessary and Al-La-Carte services in order to maximize profits. Many offices justify this unethical practice by mentioning that…
If you were ever subjected to the unsavory fluoride treatments at the dentist as a child, you’re probably one of many who are relieved to be receiving the same dental benefits in a manner that doesn’t assault your taste buds! Now that fluoridated water is circulating through about 75% of public water lines, the population…
The work performed by Advize Health is enacted with insurance providers and patients in mind. Protecting providers and patients from fraud, waste, abuse, and unnecessary use of money are among our priorities, and our team of auditors works hard to deliver the best results. Every facet of coding and auditing is important, because the end…
Oral Cancer is a growth or sore in the mouth that does not go away. Oral Cancer can be life threatening if not diagnosed or treated early. According to the American Cancer Society, men face twice the risk of developing cancer as women. Men who are over 50 face the greatest risk. It is estimated…