BHA310 - Module 3 SLP - Gary White.docx - Module 3 SLP – “Legal Aspects of Healthcare” Gary White BHA310 – Dr Smith 1 September 2019 Benevis and

BHA310 - Module 3 SLP - Gary White.docx - Module 3 SLP –...

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Module 3 SLP – “Legal Aspects of Healthcare” Gary White BHA310 – Dr. Smith 1 September 2019
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Benevis and Kool Smiles Dental Clinics 1. Discuss the case against Benevis and Kool Smiles Dental Clinics. Be sure to explain the relationship between the two. Between January 2009 and December 2011, it was alleged that Benevis, a dental management company, and 130 of it’s affiliated Kool Smiles dental clinics billed Medicaid programs for unnecessary procedures, which put vulnerable patients at risk. The US claimed that Benevis and Kool Smiles purposely submitted false claims to Medicaid for unnecessary root canals, tooth extractions, and stainless-steel crowns, and sought out payment for procedures that they never performed (DOJ, 2016). It was also alleged that Kool Smiles forced and offered incentives to dentist to reach production goals. Unproductive dentist was disciplined, while productive dentist received large cash bonuses from the revenue that was generated by procedures that were performed. Ultimately, a settlement was reached and Benevis and Kool Smiles clinics were
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