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September 10, 2015

Posted  September 10, 2015

The Washington Attorney General announced a suit against CareOne Dental Corporation and related individuals for Medicaid fraud. The suit alleges that the defendants systematically billed Medicaid for non-covered services which they misrepresented in their billings, “upcoded” services (more expensive versions of what they actually performed), and services they simply didn’t provide. The Attorney General’s Office currently estimates at least 20 percent of the claims CareOne Dental presented to Medicaid from January 2011 to June of 2015 were fraudulent, which would amount to approximately $1 million in single damages. WA

Tagged in: Medicaid, Upcoding,