May 22, 2013 — Dental Medicaid fraud and insurance fraud by unethical dentists are difficult problems in every state. To deal with the issue, investigators and prosecutors turn to state and federal False Claims Acts. When billing fraud involves state and federally funded healthcare programs like Medicaid, the False Claims Act allows inside dental professionals and staff to take matters into their own hands. The qui tam provisions in the federal False Claims Act allow private individuals with knowledge of false claims violations to blow the whistle and bring a lawsuit on behalf of the government. Informants retain a share of any recovery to compensate them for their sacrifice.
Billing Fraud by Dentists Targeted by Prosecutors
A State College, Pennsylvania dentist has been sentenced to 90 days to six months in jail after pleading no contest to charges of making false claims to private insurance companies. Prosecutors alleged that from June 2006 to February 2011, Jamshid Assadinia submitted false claims to insurance companies, seeking reimbursement for performing a hundred procedures on several patients. In reality, however, Assadinia did not do the work. The fraudulent claims added up to more than $52,000.
In December of last year, Assadinia entered pleas of no contest to felony charges of theft by deception and insurance fraud. The dentist was to begin his sentence on May 1, according to the Centre Daily. Though Assadinia’s billing fraud concerned private insurance companies, in many dental clinics, the misconduct includes making false claims to state Medicaid programs.
Dental Clinic Insiders Have the Power to End Dental Fraud
It takes a brave individual to notify the government when an employer is cheating the American people. We understand that people need their jobs to support their families. That’s why the qui tam provisions of the False Claims Act give whistleblowers substantial legal rights. The experienced lawyers with Waters & Kraus are here to protect your rights and maximize your interests. Contact us by email or call our whistleblower attorneys at 800.226.9880 to learn more about our dental Medicaid fraud practice and how we can help you.