Dental FWA – Upcoding, Misrepresentation and Diagnosing Unnecessary Treatment
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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.
