Health Care Fraud | HealthCareFraud.info

Insurance Fraud – Spotting Insurance ScamsBy Louis Zhang

The majority of people who commit insurance fraud don’t think they’re hurting anybody directly. In fact, they think they’re hurting major corporations who have enough money that they don’t care anyway. This is not the case. In the United States, insurance scams cost an estimated $875 per person annually. [...]

The Hidden Cost of Insurance FraudBy Martin Maylor

In about one fifth of all known cases of health care fraud, consumers are the perpetrators, according to the insurance association. All but a fraction of the rest involve providers.
“I don’t take consumer fraud lightly,” says Greg Anderson, director of corporate finance investigations for Blue Cross-Blue Shield of Michigan. [...]

9 Biggest Mistakes Health Care Providers Make That Result in Surprise Visits From Fraud InvestigatorBy Daniel J Osborne

It’s no secret for today’s health care provider that investigators from regulatory boards, insurance companies and law enforcement agencies are on the prowl looking for providers who are not following the laws & rules – with a major focus [...]

Five Physicians Plead Guilty to Health-Care Fraud – An Important Lesson For PhysiciansBy Shirin Harrell

The United States Attorney in Boston recently announced the settlement of a health-care-fraud case involving five urologists and TAP Pharmaceutical Products, Inc., a major American pharmaceutical manufacturer. The government alleged that the urologists received illegal inducements from TAP to prescribe the drug [...]

Health Care Fraud – The Costly Deception?By Daniel J Osborne

For years significant resources have reportedly been directed towards combating health care fraud by insurers, regulators, law enforcers and legislators. Yet, despite these reported efforts, it would appear, based on the annual estimates, the problem continues to grow and flourish.

Could this indicate that health care fraud is [...]

Chiropractic Fraud – Perception Vs RealityBy Daniel J Osborne

Is health care fraud more prevalent in claims submitted by chiropractors than those submitted by members of other health care disciplines? When looking at the various news-sources, chiropractors are not found to make up either the lion-share of health care fraud charges or convictions reported.

Unfortunately, instances of fraud [...]

Chiropractic Fraud – Could Perception Be Reality?By Daniel J Osborne

Perception: Large numbers of consumers and investigators alike believe that fraudulent activity in the Chiropractic profession is pervasive, and, unfortunately, may use a broad-brush to paint all chiropractors as deviant actors.

Why is the foregoing impression so prevalent today?

Is this perception the result of historical context, viz., that [...]

Investigating Chiropractic FraudBy Daniel J Osborne

Health care fraud comes in many forms and unfortunately is not limited to any one health care discipline. Chiropractic is not immune from their members engaging in fraudulent activity that violates the laws and rules governing health care. With more than twenty years of experience, including investigating chiropractic fraud and assisting [...]

Hospice Medicare Fraud – Health Care Providers Bilking the Patients’ MedicareBy Fabiola Castillo

Believe it or not hospices are the one place where you would least likely think that health care providers would bilk the patients and their family members.

Do you have faith in health care professionals? Have you ever thought that the physician or nurse providing [...]

Socialized Health Care in America – Danger AheadBy Cleve Tidwell

American health-care crisis… political watchwords used in countless situations in Washington to strike fear into the souls of man. The current healthcare system is in need of reform. Unfortunately, our left thinking friends seek a strategy for reform that cripples, rather than stimulates, the situation of the [...]