BOSTON (Legal Newsline) – Massachusetts Attorney General Maura Healey announced Feb. 17 that dental provider Dr. Alec H. Jaret, doing business as HealthDrive Dental Group, and its billing agent, HealthDrive Corp., will pay $1.5 million after allegations of overbilling MassHealth for nursing home visits.
According to Healey’s office, HealthDrive overbilled MassHealth between July 2010 and September 2013; the defendants charged a separate “house call” fee for multiple patients treated at the same facility on the same day. MassHealth’s rules mandate that health care providers limit this fee to one charge per facility per day.
It does not matter how many patients are seen at that facility on the given day. HealthDrive allegedly put in 34,700 excessive claims. Per the terms of the agreement settling the case, HealthDrive and HealthDrive Dental Group will pay MassHealth $1,500,756 to resolve all claims.
Handling the case for Massachusetts were assistant attorneys general Jennifer Goldstein, Alexandra Brazier and Robert Patten and investigator Eric Panicucci, all of Healey’s Medicaid Fraud Division. Additionally, MassHealth provided assistance with the case.