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So, You're "Borrowing" Provider Credentials? That'll Be $540,000.

Let’s be real. Credentialing is a drag. You’ve got a new provider ready to go, but they're stuck in paperwork purgatory. So, you start billing their work under Dr. Established’s NPI.

Smart workaround? Nope. The Department of Justice just called it a $540,000 mistake.

A dental group, Premier Dental Holdings / Sonrava Health, was just hit with that exact settlement for doing what so many practices do: billing Medicaid for services performed by a non-credentialed provider, but using the NPI of an in-network dentist.

This isn’t some friendly warning. This is a part of the DOJ's 2025 National Health Care Fraud Takedown. They’re not just looking for this stuff; they’re actively prosecuting it.


From Billing Chaos to Legal Catastrophe


That little “workaround” to get claims paid is a ticking time bomb. You’re worried about your AR backlog, but you could be stepping into a legal inferno that makes your cash flow problems look tiny.

Think your automated software will save you? Think again. This isn't a clearinghouse problem, it's a

people problem1. It’s a strategy problem. And it’s the kind of mess that can threaten your entire practice.



Ditch the Drama. Outsource the Mess.


Stop spending your days worrying about compliance and start focusing on what you’re actually good at: dentistry2. You didn’t build your practice to become an expert on federal regulations.


What if you could just hand the chaos to the pros?

  • Proof that outsourcing isn't a compromise, it's a power move3.


  • Imagine claims just... closing. Cash flowing4.


  • Your team’s morale? Up5. Their stress? Way down6.


Working with pros who know the ins and outs doesn't just feel like hiring an insurance insider 7; it feels like a spa day for your practice8. Ready to trade your AR firestorm for that peaceful, profitable, and kinda magical feeling9? Let's talk.



 
 
 

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