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ADA raises concerns about CMS CRUSH initiative proposals affecting dentistry

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The American Dental Association (ADA) has urged the Centers for Medicare & Medicaid Services (CMS) to consider the impact of the CRUSH initiative, aimed at combating healthcare fraud through advanced technologies. The ADA expressed concerns about proposed requirements for dental providers, especially regarding enrollment in traditional Medicare, which could discourage participation in Medicare Advantage plans. The letter highlighted that many improper payments relate to upcoding rather than dental billing fraud. The ADA also raised issues about payment suspensions affecting dental practices and recommended support for dental data infrastructure and improved program integrity.

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