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Healthcare Fraud in International Markets

Healthcare fraud is everywhere – even in countries that have government run programs. Below are some examples: Healthcare fraud knows no boundaries. The U.S. Medicare and Medicaid programs are...

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Schemes to defraud the health system

We all know that healthcare fraud is a growing concern. Private (e.g. Blue Cross Blue Shield, Aetna etc.) and public insurers (e.g. the government – Medicare and Medicaid) are both susceptible to fraud...

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Healthcare fraud: How it affects the consumer

Roughly 60 billion healthcare dollars are lost each year due to fraud, waste and abuse. How does this theft affect you the taxpayer and healthcare consumer? The answer is surprisingly simply ­ it hits...

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Top 10 Hospital Stories of 2010

Becker’s Hospital Review recently posted their collection of the top 10 hospital stories of 2010. Many of the topics reflect the major hospital stories of 2010 – a few really delve into the growing...

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Healthcare Fraud Roundup

What are the fraudsters doing these days? Well, according to reports, NOT getting away with healthcare fraud. The government is in hot pursuit of those that are bilking the system. Some recent arrests...

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Fighting Healthcare Fraud

All puns aside, the government is really turning up the HEAT on healthcare fraud. HEAT (Health Care Fraud Prevention and Enforcement Action Team) was established in May 2009 to crack down and prevent...

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Most Wanted Healthcare Fugitive List

And cue… “Bad boys, bad boys, whatcha gonna do, whatcha gonna do when they come for you?” The Office of Inspector General (OIG) of the Department of Health & Human Services launched a Most Wanted...

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Avoiding Fraud, Medical, and Billing Errors in the Healthcare Arena

A HealthGrades report indicates that there have been between 400,000-1.2 million error-induced deaths during 1996–2006 in the United States. On top of that, $60 to $80 billion is lost each year in the...

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Chicago – New Healthcare Fraud Hot Bed?

Medicare fraud is hitting Chicago – hard. Chicago’s vulnerable population of senior citizens is receiving the brunt of the fraud, with the unethically targeting nursing homes and elderly living...

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To Be or Not to Be (a Whistle Blower) that Is the Question

A follow up blog to a post concerning a nurse who was jailed and fined for reporting a doctor… It looks like justice was served in the end. An Unfair Complaint A Texas nurse is waiting to stand trial....

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