The University at Buffalo will pay $115,094 in fines and reimbursements to settle Medicaid billing mistakes at its dental clinic that university officials said amounted to $840.
The state’s Medicaid Fraud Control Unit reached an agreement with the State University of New York to recover payments that incurred between 2005 and 2009 at the Daniel Squire Oral Diagnostic & Treatment Center on UB’s South Campus, State Attorney General Eric T. Schneiderman announced Monday.
The overpayments totaled about $840.
“The Attorney General reviewed 200 claims and only five were not in compliance,” UB spokesman John DellaContrada said in a statement to The News. “It is important to note that the audit did not find any occurrences of fraud. All patients received treatment for all claims billed to Medicaid.”
Investigators found that, in some cases, the dental clinic performed the services over two visits without noting the reason in patient records and then billed Medicaid for each visit. As a result, the clinic received double reimbursement from Medicaid.
Medicaid billing rules require that dental clinics perform a cleaning and dental exam and, if required, take X-rays during a single reimbursable visit with a patient, unless there is a specific reason – recorded in the patient’s record – why the services must be performed over multiple visits, officials said.
“If services are billed in violation of the rules for Medicaid reimbursements, New Yorkers are owed and deserve that money,” Schneiderman said in a statement.
UB officials characterized the violations as clerical errors.
“The school is conducting (an) ongoing internal review of operating procedures to ensure that these clerical errors do not occur again and is conducting regular internal audits to ensure that all claims are in compliance with all Medicaid rules and regulations,” DellaContrada said.
The clinic manages more than 50,000 patient visits a year.
News Medical Reporter Henry Davis contributed to this report. email: email@example.com