Article Fraud Insurance Medical

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How Insurers Exploited Medicare Advantage for Billions - The …

https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html

But a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to inflate their profits...

Health Care Fraud — FBI - Federal Bureau of Investigation

https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud

What Should Health Care Organizations Do to Reduce Billing …

https://journalofethics.ama-assn.org/article/what-should-health-care-organizations-do-reduce-billing-fraud-and-abuse/2020-03

CMS categorizes fraud and program integrity issues into 4 categories: (1) mistakes resulting in administrative errors, such as incorrect billing; (2) …

The Challenge of Health Care Fraud – NHCAA

https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/

The National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year. A …

Rick Scott's connection to massive Medicare fraud scandal …

https://www.newsweek.com/rick-scotts-connection-massive-medicare-fraud-scandal-resurfaces-1780279

Scott's post resurfaced backlash for the Republican's connection to one of the largest health-care fraud settlements in U.S. history, from his time as CEO of …

Doctor allegedly took $26 million from insurers with …

https://abcnews.go.com/US/doctor-allegedly-26-million-insurers-phony-medical-procedures/story?id=69017228

Degraft-Johnson ran the Heart and Vascular Institute of Northern Florida in Tallahassee and is accused of submitting false claims to health insurance agencies for procedures and obtaining the money for …

Healthcare billing fraud: 9 recent cases - Becker's Hospital Review

https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-billing-fraud-9-recent-cases.html

A Florida physician was convicted Feb. 10 for his role in a healthcare fraud scheme that involved billing health insurance companies for $110 million in medically …

Top Healthcare Fraud Takedowns of 2020

https://revcycleintelligence.com/news/top-healthcare-fraud-takedowns-of-2020

The Department of Justice recently reported that it has charged over 300 individuals this year for their involvement in healthcare fraud, waste, and abuse …

Health Insurance Fraud and Its Impact on Healthcare …

https://www.pacificprime.com/blog/healthcare-system-fraud-impacts.html

Increasing health insurance premiums. According to an article in The Telegraph, overtreatment and fraud have long been a driver of accelerated insurance …

Fraud - 2023's Most Popular Articles - Insurance Journal

https://www.insurancejournal.com/archive/fraud/popular/year/

Jun 23 2022 // The head of a small, South Florida investment firm has been charged with insurance fraud after he submitted a $300,000 roof-leak claim to his insurer, American …

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