Texas officials giving up on most Medicaid fraud cases – Dr. Bicuspid

Texas officials are giving up on recovering most of the hundreds of millions of dollars spent on questionable Medicaid dental and orthodontic procedures. After years of an ongoing scandal over fraudulent billing and courtroom losses, the commission that oversees Medicaid has offered settlements for a fraction of the claimed damages.

The Texas Health and Human Services Commission (HHSC) has offered settlements for most of nearly 100 pending cases of alleged overbilling, and almost all of the remaining cases are expected to be cleared by the end of the year. The state has been trying to recover money from dental providers accused of fraud but has lost most of the cases.

The commission expects to recoup $20 million or less of the $823 million in suspected fraud and waste.

“We’ve implemented a comprehensive and aggressive effort to reduce our backlog and have made significant progress by settling numerous cases,” HHSC spokesman Chris Cutrone told DrBicuspid.com. “We have cut the legal and investigative side of our backlog by more than 50%, and that number will continue to climb.”

 

Source: Texas officials giving up on most Medicaid fraud cases Dr. Bicuspid

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