Tag:

fraud

Latest Headlines

Latest Headlines

Insurance agent indicted for fraudulently transferring policies

Payers might want to be more wary of insurance agents' activities after one Arizona woman allegedly transferred Medicare supplemental policies from one insurer to another without members' permission.

Insurers share claims data with HHS to fight fraud

Hoping to clamp down on healthcare fraud, private payers like UnitedHealth and WellPoint are partnering with the U.S. Department of Health & Human Services to share more claims information and fraud prevention best practices.

Insurers barred from state for fraud scheme

Four health insurers operating in Maine are barred from doing business in the state and each must pay a $260,000 fine, plus restitution, for their involvement in an alleged healthcare fraud scheme.

Embezzlement prevention: Checks and balances for everyone

No doctor wants to think that someone as trusted and integral to their practice as their office manager would steal from them, but stories of precisely that happen all too frequently.

GOP lawmakers raise concerns about Medicare fraud

The Centers for Medicare & Medicaid Services is not taking appropriate action against the use of shell companies and dummy store fronts, according to Republican lawmakers. A group of Senators and

Medicare fraud detection system disappoints

A computer initiative to stop fraudulent Medicare billing at the point of claims submission has so far been a disappointment, reported the Associated Press. To date, the $77 million computer system,

CMS aims to stop provider identity theft

With a careful eye on fraud and abuse, the Centers for Medicare & Medicaid Services (CMS) has created the provider victim validation/remediation initiative to help prevent medical fraud. The

Cost reform saves state Medicaid program $600M

Cost reform initiatives brought into New York's Medicaid program have saved it $600 million so far in 2011, reports WTEN. The program's cost containment included 73 mandates from the state's Medicaid

Docs to revalidate Medicare enrollment with CMS anti-fraud efforts

If you enrolled to participate in Medicare anytime prior to March 25, 2011, be on the lookout for a letter from your Medicare Administrative Contractor (MAC) requesting you revalidate your

Alleged fraud uncovered during EMR training

In a recently unsealed lawsuit in Florida, Dr. Juan Domingo, an internist formerly with Lee Physician Group, a division of Lee Memorial Health System, accuses his past employer of not only