A Texas-sized fraud settlement mess – FierceHealthPayerAntiFraud

State regulators in Texas last week agreed to settle allegations of Medicaid fraud against Trueblood Dental Associates, P.A. Brace yourself for the numbers: The state agreed to recover just $39,211 out of a $16,209,289 projected overpayment for dental claims in a case where the government supposedly had slam-dunk evidence of fraud. The settlement was a “stunning reversal” of the state’s position, according to the advocacy group Texas Dentists for Medicaid Reform.In its final notice of overpayment .pdf to Trueblood, the Texas Office of Inspector General ticked off the scathing audit findings:

via A Texas-sized fraud settlement mess – FierceHealthPayerAntiFraud.

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