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Charging out for the wrong thing?

My DDS likes to have us take 4BWs and panos instead of FMX. We just had a meeting yesterday and he wants us to start taking 7 VBW every other year so he can see the anterior teeth, which I think is great, but he told us to take the 7 VBWs but charge it out as 4 BWs and 3 PAs because the INS will be more likely to pay for it. Is this insurance fraud!!!?????



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2 Answers

Yes charging out for something that is not completed during an appointment in order to obtain more funds from insurance is considered insurance fraud.

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http://www.dentaleconomics.com/articles/print/volume-88/issue-10/departments/dental-insurance/eight-examples-of-fraud.html

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