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Monday, April 11, 2011

Dentist Medicaid Fraud Lawsuit and Orthodontist Medicaid Fraud Lawsuit Information

Guardians, Grandparents, and Parents That Expose Dentist Medicaid Fraud Schemes including Unnecessary Procedures & False Billing Can Become Eligible for Large Economic Awards
by Texas Dentist Medicaid Fraud Lawyer Jason S. Coomer

Some dentists, dental clinics, and orthodontists have discovered that falsely billing Medicaid for services can generate huge profits.  In these fraudulent dental Medicaid billing schemes, the dentist office or dental clinic will  commonly run several promotions offering free gifts and services to bring in Medicaid patients and CHIP patients.  Once they have the children signed up for Medicaid and CHIP, the dental office will then often push expensive and unnecessary dental treatments for the children and bill Medicaid for the unnecessary treatment, thinking that the parents, grandparents, or guardians of the children will never realize that the services were not needed, were dangerous, or were never actually provided. 

For many of these dental practices, systematic Medicaid fraud creates large profits and because the expenses are paid by Medicaid, many guardians and parents do not realize when fraud or false billing has occurred.  It is important that guardians and parents review the dental services and Medicaid billing to confirm that their children actually did receive the dental services that were billed for and that the dental services were actually necessary procedures for their children.

It is important to realize that systematic Dentist Medicaid fraud can include double billing; upcoding; phantom billing; billing for tests not performed; performing inappropriate or unnecessary procedures; triple billing; charging for equipment, services or supplies never delivered or prescribed; billing for new equipment or supplies, but providing the patient with used equipment; offering free services or supplies in exchange for use of a Medicaid number; unbundling; code jamming; submitting false cost reports to seek higher Medicaid reimbursements than permitted by actual facts; allowing unqualified health care providers to bill for services that they should not provide; falsely seeking payment patients not qualified, and allowing under qualified providers to bill for services that they should not provide. If in reviewing bills for dental services or medical services, there is evidence of systematic Medicaid fraud, it is important to verify the fraud and then properly report the fraud. 

If systematic Dentist Medicaid Fraud is discovered by a parent, grandparent, or guardian from original and specialized evidence provided and the parent or group of parents reporting the fraud are the first to file on this Dentist Medicaid Fraud Scheme, the parents can be eligible to receive a portion of the money that the government recovers from the exposed fraud.  In some cases, this could amount to hundreds of thousands or millions of dollars. 

Dentist Medicaid Fraud Lawsuit, Dentist Medicaid Fraud Scheme Lawsuit, Orthodontist Medicaid Fraud Lawsuit, Unnecessary Dental Work Medicaid Fraud Lawsuit, and Dental Upcoding Medicaid Fraud Lawsuit Information
by Texas Orthodontist and Dentist Medicaid Fraud Whistleblower Lawyer Jason S. Coomer

Dentist Medicaid Fraud is on the rise and it is important that Dentist Medicaid Whistleblowers and Dentist Medicare Whistleblowers come forward and blow the whistle on Dentists that are committing Medicaid fraud and Medicare fraud.  These Dentist Medicaid Fraud Whistleblower Lawsuits and Dentist Medicare Fraud Whistleblower Lawsuits can result in large recoveries for not only the government, but also for the brave whistleblower that becomes a successful relator and is able to collect a portion of the recovered money.  

Several Dentists, Dental Management Companies, Dental Clinics, and Dentist Office Professionals, have already been the subject of Dentist Medicaid Fraud Whistleblower Lawsuits and Government crackdowns on Dental Medicaid Fraud and Dental Medicare Fraud.  These Dental Medicaid Fraud Whistleblower Lawsuits, Dentist Medicare Fraud Whistleblower Lawsuits, and government crackdowns have uncovered unnecessary dental treatments, dentist Medicaid fraud, Medicaid fraud kickbacks, dental Medicare fraud, and other dental Medicaid fraud that were endangering children and costing taxpayers millions of dollars.

Qui tam provisions of the False Claims Act are based on the theory that one of the least expensive and most effective means of preventing frauds on taxpayers and the government is to make the perpetrators of government fraud liable to actions by private persons acting under the strong stimulus of personal ill will or the hope of gain. 

The strong public policy behind creating an economic gain for whistleblowers is that  the government would be significantly less likely to learn of the allegations of fraud, but for persons in certain positions with specialized knowledge of fraud that has been committed. Congress has made it clear that creating this economic incentive is beneficial not only for the government, taxpayers, and the realtor, but is an efficient method of regulating government to prevent fraud and fraudulent schemes.

The central purpose of the qui tam provisions of the False Claims Act is to set up incentives to supplement government regulation and enforcement by encouraging whistleblowers with specialized knowledge of fraud going on in the government to blow the whistle on the crime. 

The whistleblower's share of recovery is a maximum of 30 percent and the government's prior knowledge of fraud now does not necessarily bar a whistleblower from collecting lost revenue.

Dentist Medicaid Fraud Lawsuits, Orthodontist Medicaid Fraud Lawsuits, Medicaid Fraud Dentist Office Whistleblower Lawsuits, Unnecessary Dental Work Medicaid Fraud, Medicare Upcoding Fraud Lawsuits, Dental Upcoding Medicaid Fraud, and Orthodontic Medicaid Fraud Lawsuits

Through Federal False Claims Act Whistleblower Lawsuits, Qui Tam Lawsuits, and other Government Fraud Lawsuits, Billions of dollars have been recovered from wrongdoers committing fraudulent schemes against the government for their own profit. It is extremely important that Whistleblowers continue to expose fraudulent billing practices and unnecessary treatments that cost billions of dollars.    For more information on Medicare Fraud Lawsuits, feel free to go to the following website:  Medicare Fraud Whistleblower Lawsuits.
 For more information on Dentist Medicaid Fraud Lawsuits, feel free to go to the following websites: Dentist CHIP Fraud Lawsuits and Dental Medicaid Billing Fraud Lawsuits and Dentist Medicaid Fraud and Orthodontist Medicaid Fraud Lawsuits.

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