Tag:
insurance fraud
Latest Headlines
Latest Headlines
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.
5 habits of highly effective criminals
Insurance fraud perpetrators usually rely on five "sneaky tricks" to carry out their scams, according to an article in Property Casualty 360.
Predictive analytics catch fraudulent claims
Using predictive modeling to fight fraud, the Massachusetts insurance exchange recouped $2 million in six months and avoided paying hundreds of thousands of dollars inappropriately, according to technology research and assessment firm GCN.
Healthcare law confusion, fraud plagues docs and patients
Although recent research from the Medical Group Management Association showed that many practices are taking a wait-and-see approach to making business changes related to healthcare reform, some practices are doing their best guesswork as to what to expect.
'False and fraudulent' radiology reports cost chiropractor $7 million
A California judge has ordered a chiropractor to pay more than $7 million for attempting to defraud the Allstate Insurance Company via fraudulent radiology reports.
Anthem investigates Lap-Band centers for fraud
Anthem Blue Cross Blue Shield is investigating whether several weight-loss surgery centers have been involved in health insurance fraud, Anthem spokesperson Darrell Ng confirmed to FierceHealthPayer.
Fraud prevention: Do you know what the criminals are up to?
Do you know the most recent plan criminals have taken to nab millions of dollars from an insurance company? Experts say that staying current on fraud news is one of the most significant steps payers...
Insurers step up efforts to fight fraud
Health insurers nationwide are stepping up their efforts to fight health insurance fraud, which costs an estimated $80 billion annually, according to the FBI. United Healthcare is the latest health
Blue Cross employees charged with defrauding state $500K
Three Blue Cross Blue Shield of Mississippi employees are accused of conspiring with 11 state employees to defraud the state of $500,000. Mississippi Attorney General Jim Hood said the employees of
Hospital's star doctor accused of implanting stents unnecessarily
One of Maryland's top cardiac-care hospitals is in hot water after an internal review prompted by a federal investigation determined that hundreds of patients had unnecessary coronary stents
