Quote:
Originally Posted by Dentoman
Forensic audits conducted by insurance companies will find the billing discrepancies if they are there ... and they have done so resulting in significant penalties to the dentist.
Insurance companies also will do a "code audit" on all of their claim submissions and see if a particular provider is using it more than the average .... once again, leading to a request for further information or an audit.
It is not as "easily done" as you might think.
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Appreciate the reply.
How often are these audits actually done? How effective are they in determining abuse of day to day things like the simple example in this thread of over charging the scaling units?
Do you think that insurance companies are doing a better job policing these issues rather than the government?