Medical billing fraud is a rampant problem that affects all areas of the healthcare industry. Unfortunately, rehabilitation (rehab) therapy fraud is on the rise, posing
Medical doctors should be able to focus on providing the best possible care for their patients. However, in the complex world of healthcare, it’s not
In a world where accountability and transparency are paramount, whistleblowing serves as a powerful tool to combat fraud. Whistleblowers play a crucial role in exposing
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
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
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
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
Considering reporting healthcare fraud? Confidentiality is your most powerful ally. Whistleblowing is a brave and essential step toward exposing fraud, but it requires careful handling
Have you noticed something off in your workplace that makes you question whether respiratory fraud might be happening? Maybe it’s repeated billing for unnecessary equipment
Did you know that healthcare fraud costs U.S. taxpayers billions of dollars every year? Beyond the staggering financial implications, these schemes can disrupt the quality
When you work in the healthcare sector, especially in wound care, your focus should be on helping patients heal and improve their quality of life.
Have you ever noticed something unusual in your workplace regarding hospice care or billing practices? Perhaps certain patients seem to receive services that don’t quite
Healthcare fraud remains a persistent challenge, affecting not only the integrity of healthcare systems but also the quality of care patients receive. With billions of
Having diligently navigated the process of filing a whistleblower claim, you’re now ready to embark on the next chapter of your journey. The submission of
Imagine this scenario: you’re hard at work in your healthcare role when you notice something that doesn’t feel quite right. Perhaps it’s an unusual billing
In the ongoing journey to combat healthcare fraud, the strength of your whistleblower claim depends significantly on the quality of evidence you provide. This guide
