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  • Home
  • Types of Fraud
    • Healthcare Fraud
    • Respiratory Fraud
    • Podiatry Fraud
    • Financial ​Fraud
    • FCPA Fraud
    • Managed Care Insurance Fraud
    • Nursing Home Fraud
    • Pharmaceutical Fraud
    • Procurement Fraud
    • Sponsored Genetic Testing Fraud
  • Laws & Programs
    • FCA
    • CDI
    • SEC
    • CFTC​
    • FCPA
  • About Us
  • Whistleblower Education
  • Contact
Report fraud
Medical Bill Codes And Spreadsheet Data.

High-Profile Medical Billing Fraud Cases: A Case Study

July 6, 2023 No Comments

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

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Understanding Risk Adjustment Factor (RAF) Score Fraud and How to Get a Reward for Reporting It

June 15, 2023 No Comments

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

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File a Whistleblower Claim in Exposing Healthcare Fraud

The Benefits of Being the First to File a Whistleblower Claim in Exposing Healthcare Fraud

June 1, 2023 No Comments

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

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Common Medicare and Medicaid Scams

Top 7 Most Common Medicare/Medicaid Scams by Medical Providers

May 3, 2023 No Comments

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

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How to Report Fraud in Long Term Care Facilities

Typical Types of Fraud in Long Term Care Facilities and How to Report Them and Potentially Earn a Reward

April 11, 2023 No Comments

Fraud within Long-Term Care and Assisted Living Facilities is a serious issue. It’s important to be aware of the various forms of fraud that can

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Top Managed Care Fraud Trends

Top Managed Care Fraud Trends to Look For in 2023

February 6, 2023 No Comments

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

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Elderly woman with foldable walker in nursing home

How to Avoid Committing Healthcare Fraud: Exploring the “Don’ts” of Medical Billing

October 23, 2024 No Comments

As healthcare professionals, your commitment to integrity in your work is the foundation of the healthcare system, especially in environments prone to oversight like nursing

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Whistleblower concept who reports fraud, abuse, corruption, waste, or dangers to public health and safety

How Whistleblowers Help Identify and Prevent Healthcare Fraud

September 29, 2024 No Comments

Every day, healthcare professionals like you are on the front lines, ensuring patients receive the care they need. But amidst these critical duties, you may

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Caring health specialist working with a patient.

How Does Whistleblowing Improve Healthcare Quality?

September 11, 2024 No Comments

Maintaining the highest levels of integrity and compliance is crucial in the fast-paced world of healthcare. However, instances of healthcare fraud can undermine these efforts,

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Concerned frustrated mature businesswoman sitting at laptop in office, looking away, thinking over challenging tasks.

Top 5 Healthcare Fraud Schemes to Watch for In Your Workplace

September 10, 2024 No Comments

Healthcare professionals often witness various irregularities in their daily operations, many of which may constitute healthcare fraud. Fraud takes many forms and can significantly impact

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Male and Female Doctors Walk Through Hospital Hallway, They Consult Digital Tablet Computer while Talking about Patient's Health.

Unmasking Managed Care Fraud: What Every Healthcare Professional Needs to Know

August 4, 2024 No Comments

Managed care fraud is an escalating issue in healthcare, affecting everything from large hospitals to small clinics and even private doctor’s offices. But even with

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Healthcare worker pushing button security shield virus virtual healthcare network.

Reporting Healthcare Fraud: Your Rights as a Whistleblower

July 23, 2024 No Comments

FeatuIntegrity in healthcare is very important for ensuring that patients get the best care and that resources are properly used. Unfortunately, healthcare fraud can significantly

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Lawyer sitting at a desk signing a document.

Securing Your Healthcare Fraud Claim: How to Be First to File

July 9, 2024 No Comments

Has healthcare fraud crossed your path at work and made you want to take action? Understanding the “first to file” rule can be critical to

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Young female nurse, assisted living, in-home carer or doctor visit old senior citizen at home talk about result follow up checklist, health care advice or prescription online on tablet computer.

The Financial Ripple Effect: How Whistleblowing Reduces Healthcare Costs and Rewards Integrity

June 17, 2024 No Comments

Whistleblowing in the healthcare sector goes beyond a moral choice; it acts as a catalyst for substantial positive changes, promoting cost savings and enhanced integrity.

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Electronic medical record with patient data and health care information in tablet. Doctor using digital smart device to read report online. Modern technology in hospital.

The Role of Technology, Innovation, and AI in Detecting and Preventing Healthcare Fraud

June 3, 2024 No Comments

As the healthcare sector continues to evolve, so do the challenges it faces, with healthcare fraud being a significant concern. With billions of dollars lost

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