How Healthcare Fraud Impacts Vulnerable Populations
It’s easy to see how healthcare fraud can cost taxpayers and governments billions of dollars every year. And while that is not something to be
Top Managed Care Fraud Trends to Look For in 2023
According to the National Library of Medicine, managed care refers to a healthcare insurance approach that integrates the financing of care and related services to
What Does Medical Loss Ratio Fraud Look Like in Managed Care
Medical Loss Ratio (MLR) fraud occurs when plans knowingly misrepresent a proportion of funds spent on patient care and quality improvement measures as opposed to
Managed Care: Exposing Medicare Advantage Fraud and Abuse
Medicare Advantage is a type of health insurance plan offered by private companies contracted by the government. Also known as Medicare Part C, Medicare Advantage
Managed Care Insurance Fraud: Medicare and Medicaid Kickbacks
Illegal kickbacks in managed care insurance are costly schemes that corrupt the healthcare system. When dishonest managed care organizations (MCOs) devise unlawful kickback schemes to
Reporting Managed Care Fraud: How Much Information Is Enough Information for a Case?
Managed care insurance fraud is an unfortunate reality that affects taxpayers, the government, and the millions of individuals enrolled in government-funded health plans. It’s a
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