High-Profile Medical Billing Fraud Cases: A Case Study
Medical billing fraud continues to be a pervasive issue in the healthcare industry, causing significant financial losses and undermining the integrity of patient care. Healthcare
Understanding Risk Adjustment Factor (RAF) Score Fraud and How to Get a Reward for Reporting It
Managed Care Medicare and Medicaid fraud have become pervasive in the United States, costing taxpayers billions of dollars annually. One form of healthcare fraud that
The Benefits of Being the First to File a Whistleblower Claim in Exposing Healthcare Fraud
Whistleblowing to expose healthcare fraud is a courageous act that reveals unlawful practices and protects patients from substandard care. However, to be effective, whistleblowers must
How to Report Nursing Home and Assisted Living Fraud
Medicare fraud within Assisted Living Facilities across the country. As more facilities take advantage of the system, it’s important to know how to spot the
Top 7 Most Common Medicare/Medicaid Scams by Medical Providers
Medicare is a federal health insurance program that covers eligible individuals who are over 65 years old, disabled, or have end-stage health complications. State or
Billing and Upcoding: How Physicians Can Stand Up to Managed Care Organizations
As healthcare costs continue to rise, government programs such as Medicare and Medicaid, as well as private insurers, rely heavily on managed care organizations (MCOs)
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