Dental management company to pay U.S. in a $24 million settlement

January 21st, 2010 - 3:06 am ICT by BNO News  

WASHINGTON, D.C. (BNO NEWS) – The United States on Wednesday announced that it has settled False Claims Act allegations against a dental management company in a $24 million deal.

FORBA Holdings, LLC, a dental management company that provides business management and administrative services to sixty-nine clinics nationwide, will pay the United States and participating states $24 million, plus interest, to resolve allegation that it caused bills to be submitted to state Medicaid programs for medically unnecessary dental services performed on children insured by Medicaid.

The government’s investigation of individual dentists is ongoing, and FORBA is cooperating with that investigation by providing information about dentists who may have violated professional standards.

The United States has alleged that FORBA was liable for causing the submission of claims for reimbursement for a wide range of dental services provided to low-income children that were either medically unnecessary or performed in a manner that failed to meet professionally-recognized standards of care.

“We have zero tolerance for those who break the law to exploit needy children,” said Tony West, Assistant Attorney General for the Civil Division of the Department of Justice. “Illegal conduct like this endangers a child’s well-being, distorts the judgments of health care professionals, and puts corporate profits ahead of patient safety.”

West praised the collaborative efforts of the federal and state agencies that made this result possible.

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