Dental Fraud in Medicaid
-
Steve Nesnidal, MD, CPC, AHFI
May 09, 2023
Comments
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.
2021 Dental CDT Code Changes Include New Image Capture Only Codes
-
Steve Nesnidal, MD, CPC, AHFI
- Jul 13, 2020
- Comments
The American Dental Association® (ADA) will add 28 new CDT codes effective January 1, 2021, along with seven (7) code revisions, four (4) code deletions and 22 editorial changes. The new CDT code additions for 2021 will include nine (9) new codes for image capture only.
Dental FWA – Upcoding, Misrepresentation and Diagnosing Unnecessary Treatment
-
Cindy Gallee, JD, RHIA, CHC
- Jan 16, 2018
- Comments
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.
