Recovery audit uncovers irregularities, duplicate payments

A recovery audit conducted by the state of Massachusetts revealed improper billing, duplicate payments and other irregularities at a Plymouth dental practice, the Patriot Ledger reports.

Massachusetts auditor Suzanne Bump released the 52-page audit earlier this month, recommending that the state's healthcare program seek reimbursement for the approximately $250,000 in excess and unnecessary fees charged by Christopher Freyermuth of the Smile Center.

Between 2007 and 2010, the Smile Center received $1.2 million for dental services from MassHealth, according to the news source. The validity of most of the disputed payouts is being contested because Freyermuth has not completed the minimum training required for certification by the American Dental Association.

However, random checks of Smile Center patients' accounts revealed numerous excessive procedures – including 27 fluoride treatments over a period of two years for a cavity-free patient – as well as charges for services that may not have been performed. A total of 35 incidents of double billing were also uncovered.

In order to ensure compliance before auditors arrive, dentists and other healthcare professionals can conduct regular internal recovery audits to identify irregularities and misappropriation of funds.

Leave a Reply

Your email address will not be published. Required fields are marked *

Prove You're Human * Time limit is exhausted. Please reload the CAPTCHA.