According to the National Health Care Anti-Fraud Association, 3% of all health care expenditures are lost to fraud. When applied to the estimated $162 billion spent on dental care in 2021, it represents $4.86 billion in fraud.
That loss increases the cost of coverage for patients and employers. And if you’re caught committing fraud, it can result in fines, loss of professional licenses and even prosecution.
Fraud can take many forms, but it requires intent, deception and unlawful gain. Signs of fraud and abuse in the dental office include:
So how can you make sure your practice isn’t committing fraud? Some tips include:
Delta Dental works hard to eliminate fraud at all levels and steps of the dental care process. What we do includes:
If you think someone may be committing fraud, call Delta Dental’s Anti-Fraud Hotline at 800-526-1852. Reporting is anonymous.