Medical Billing Fraud

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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

Complaints about medical billing | CMS

https://www.cms.gov/nosurprises/consumers/complaints-about-medical-billing

Complaints about medical billing. Starting in 2022, insurance companies and plans, providers, and health care facilities must follow new rules that protect …

Fraud & Abuse Laws - Office of Inspector General

https://oig.hhs.gov/compliance/physician-education/fraud-abuse-laws/

False Claims Act [31 U.S.C. § § 3729-3733] The civil FCA protects the Government from …

Justice Department Charges Dozens for $1.2 Billion in …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

The Department of Justice today announced criminal charges against 36 defendants in 13 federal districts across the United States for more than $1.2 billion in …

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

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

2. Florida physician convicted of $110M fraud. A Florida physician was convicted Feb. 10 for his role in a healthcare fraud scheme that involved billing health …

What Should Health Care Organizations …

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

The literature suggests that comprehensive education in this area is lacking, with only about one-third of medical schools providing any curricular content relating to fraud and abuse. 17 In response, …

How to Report Medical Billing Fraud: 8 …

https://www.wikihow.com/Report-Medical-Billing-Fraud

Report the fraudulent billing you've experienced, including the name of the medical facility, the supplies, operations, …

Health Care Billing Errors and Fraud - Reporting Health …

https://www.aarp.org/health/health-insurance/info-05-2012/health-care-billing-errors-and-fraud.html

Phone: 1-800-633-4117 (1-800-MEDICARE) TTY: 1-877-486-2049. Report questionable billing practices to your insurance company’s antifraud department. You should find a …

Medical Billing Fraud - Constantine Cannon

https://constantinecannon.com/practice/whistleblower/whistleblower-types/healthcare-fraud/billing-fraud/

Upcoding Fraud. Upcoding is a kind of medical billing fraud that occurs when a provider sends a bill to Medicare or another payor for a more expensive service than the one actually performed. For …

The 5 Most Common Types of Medical Billing Fraud

https://www.business2community.com/health-wellness/the-5-most-common-types-of-medical-billing-fraud-0234197

Phantom Billing. “One of the most common types of Billing fraud has to do with services being billed that were not actually performed. This type of fraud impacts the …

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