Tag:
Healthcare Fraud
Latest Headlines
Latest Headlines
The double-edged sword of e-signatures
Greater use of electronic signatures can make it easier for payers to do business according to an Insurance Thought Leadership article, but this technology also brings efficiency gains to would-be criminals.
Study: Fraud incentives and countermeasures
Against a backdrop of incentives for healthcare fraud, business researchers at Aberdeen Group explain how organizations use data integration, automation and analytics to battle the crime.
Medicare doc data release a mixed blessing
The government's release of Medicare provider payment data is a giant step forward. Taxpayers and consumer advocates have the right to know how public funds are spent. When I think of the...
OIG: Beef up terminated provider data
The Centers for Medicare & Medicaid Services should improve its system for sharing data on providers whose participation in federal healthcare programs has been terminated, the Office of Inspector General announced.
The cautionary tale of Florence Bikundi, an excluded provider
Last month, authorities arrested 25 people on federal charges related to a series of home care fraud schemes that robbed Medicaid of millions. This was the largest healthcare fraud bust in the...
Health exchanges ripe for fraud, scams
State and federal health insurance exchanges rank high on the list of top 10 healthcare fraud areas of 2014, according to a new report by Bloomberg BNA.
Federal fraud recoveries skyrocketed
Federal health insurance anti-fraud efforts recouped about $4.3 billion in fiscal year 2013, the U.S. Departments of Justice and Health and Human Services announced Wednesday, recovering $8.10 for every taxpayer dollar spent on this work during the last three years.
Largest DC healthcare fraud takedown busts 25
Law enforcement agents arrested 25 people in the Washington, D.C., region after investigations into Medicaid home healthcare billings. The arrests marked the largest healthcare fraud bust in D.C. history, with losses estimated at tens of millions of dollars, the FBI's Washington Field Office announced Thursday.
Partners in crime: Medical identity theft and fraudulent billing
Healthcare-related identity theft is on the rise, accounting for 43 percent of all identity thefts reported nationally in 2013, according to a report by the Identity Theft Resource Center, Kaiser Health News reported. Medical identity theft spikes are a bad omen for program integrity, because when criminals get their hands on other people's health insurance identification numbers, it's just a matter of time before insurers receive false claims.
Healthcare fraud cases reach record high
Last year saw 377 federal healthcare fraud cases, a 3 percent increase from the previous year, a 7.7 percent increase compared to five years ago, and a 9.9 percent bump from nine years ago.
