The U.S. Court of Appeals for the District of Columbia Circuit last week reversed a ruling requiring a government contractor to release in-house fraud investigation reports, according to the District-based law firm Wiley Rein.
FierceHealthPayer: Anti-Fraud talked to Deloitte's Michael E. Little for expert advice on how special investigations units can improve their anti-fraud casework. Little shares additional fraught fighting insights in this final segment of a two-part interview.
Industry experts focused on improving the healthcare fraud investigators' clinical understanding and offered legal advice and compliance tips for special investigation unit leaders at this week's National Health Care Anti-Fraud Association's annual training conference in Orlando, Fla.
Insurers operating in California could see an increase in taxes to fund the state's anti-fraud efforts if a bill passed by the state legislature becomes law.
When it comes to fraud prevention and detection, Health Care Services Corp. (HCSC) takes a hard line against criminals. "Our goal is to prosecute fraudsters," said Sharon Green, senior manager of special investigations for HCSC-owned Blue Cross Blue Shield plans in Illinois, New Mexico, Oklahoma and Texas told FierceHealthPayer.
The primary contractor for Kentucky's Passport Health Plan will pay more than $2 million in damages to the state Medicaid program to settle a fraud investigation, reports the Louisville