Xerox Pays $236 Million to Settle State of Texas Dental Fraud Case
Xerox became the State of Texas’ Medicaid administrator in 2003. According to the lawsuit by the Texas Attorney General, between 2004 and 2012, Texas expended approximately $1.1 billion on orthodontics under the Texas Medicaid program. According to the State’s lawsuit, Xerox, and ACS, Inc. before it, repeatedly represented to Texas Medicaid officials that their prior authorization system ensured proper predeterminations of qualifications.
The State’s lawsuit alleged that Xerox violated the Texas Medicaid Fraud Prevention Act and “rubber-stamped” prior authorization requests by unqualified clerical employees, allowing “vast numbers” of orthodontic procedures for children whose condition did not meet Medicaid criteria for treatment. The company, formerly known as Affiliated Computer Services, Inc., before Xerox acquired it, was
also accused of making false statements or representations in Medicaid filings
with the state.
Example after example of government fraud, and yet a disproportionate number of Americans still want their healthcare under a single payer system.
The settlement comes after a three-year WFAA investigation that uncovered millions of dollars in alleged overbilling by Texas dentists targeting low-income children for unnecessary and often harmful dental and orthodontic work.
The shame is that people think government run healthcare is the better way to deliver services. We think the better way is free market fee for service in the absence of colluding insurance companies and lazy government agencies administering your care.
We offer our patients a personal experience. We focus on the benefits to you, which include quality care, individual treatment and creative solutions, and the expert dental professional of your choice each visit, no “over-treatment” and no “government mismanaged” healthcare.
Novy Scheinfeld, DDS, PC
ZoAnna Scheinfeld, MS, DMD
Hanna Orland, DMD
290 Carpenter Drive, 200A
Sandy Springs, GA 30328
Chamblee Dunwoody Road
Chamblee, GA 30341