Siouxland Community Health Center settles suit over billing - KTIV News 4 Sioux City IA: News, Weather and Sports

Siouxland Community Health Center reaches settlement over dental billing

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Siouxland Community Health Center has agreed to pay $200,000 to resolve allegations it violated the Federal False Claims Act and the State of Iowa False Claims Act.

Federal and state officials accused the facility of improperly submitting claims to Iowa Medicaid for dental services performed on kids who were not eligible for the service because they were either recently treated in the health center's dental clinic or were the recipient of its dental outreach services.

The action came after a two year investigation of the dental outreach program.  The program, which was implemented in 2010, provided dental screening to children in the Sioux City and South Sioux City schools as well as many outlying Siouxland area school districts.

As part of the settlement, Siouxland Community Health Center does not admit wrongdoing or liability.

Interim CEO Mari Kaptain-Dahlen said, "The U.S. Attorney's office contended that the dental outreach services did not meet the State's frequency requirements. SCHC contends, but it has complied with applicable federal and state clinical and billing requirements but decided to settle the case as the cost of defending the allegations would have exceeded the amount of the settlement."

SCHC suspended the dental outreach program in July as of result of the settlement, and will resume outreach to schools once the state and federal governments issue guidance on delivering and billing for the services.

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