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Health Care Fraud — FBI - Federal Bureau of Investigation

    https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud
    If you suspect fraud, contact your health insurance company (most have toll free numbers to report fraudulent activity). Medicare fraud can be reported to 1-800-HHS-TIPS (1-800-447-8477). You also can contact your local FBI or HHS-OIG offices or your states Medicaid fraud office. See more

The Challenge of Health Care Fraud – NHCAA

    https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/
    Medical identity theft frequently results in erroneous information being added to a person’s medical record, or even the creation of an entirely fictitious medical record in the victim’s …

Fraud, Abuse, and Financial Conflicts of Interest | NEJM

    https://www.nejm.org/doi/full/10.1056/NEJMp2201628
    11 hours ago · Fraud, Abuse, and Financial Conflicts of Interest. Zack Buck, J.D., M.B.E. Increased attention and ever-growing complexity in the area of health care fraud-and …

Preventing Fraud and Abuse in Clinical Documentation

    https://library.ahima.org/doc?oid=301028
    We certainly hope that levels of fraud are lower when levels of compliance awareness are higher—this goes to the core of the OIG’s mission to promote compliance so that the …

7 Red Flags for Fraud in Medical Records - Elite Learning

    https://www.elitelearning.com/resource-center/health-information-professionals/7-red-flags-for-fraud-in-medical-records/
    Provider notes are exactly the same for multiple patients. Medical visits vary by human …

Health Care Fraud and Abuse - Hopkins Medicine

    https://www.hopkinsmedicine.org/johns_hopkins_healthcare/providers_physicians/health_care_fraud_and_abuse/
    It is estimated that nearly 60 billion dollars are lost annually due to health care fraud and abuse. JHHC takes is dedicated to protect the integrity of the care its members …

Medicare Fraud & Abuse: Prevent, Detect, Report

    https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244-Print-Friendly.pdf
    These laws specify the criminal, civil, and administrative penalties and remedies the government may impose on individuals or entities that commit fraud and abuse in the …

Fraud and Abuse Implications for the HIM Professional

    https://library.ahima.org/doc?oid=57611
    On August 21, 1996, President Clinton signed into law the Health Insurance Portability and Accountability Act. This law addresses several issues including the creation of a Health …

Fraud vs Abuse in Healthcare | Law Offices of Art Kalantar

    https://www.kalantar.law/fraud-vs-abuse-in-healthcare/
    Healthcare fraud is broadly defined as any deliberate and dishonest act committed with the knowledge that it could result in an unauthorized benefit to the person …

9 Red Flags Signifying Healthcare Fraud

    https://www.mosmedicalrecordreview.com/blog/9-red-flags-signifying-healthcare-fraud-abuse/
    Healthcare fraud and abuse is a federal crime and negatively impacts Americans on the whole. It increases healthcare costs phenomenally, and therefore …



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