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
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
Genetic testing, once heralded for its promise in healthcare innovation, is now confronted with a disconcerting reality – the rise of sponsored genetic testing fraud.
Navigating the complexities of healthcare referrals is crucial for maintaining the integrity of patient care. Understanding the concept of kickbacks is an essential part of
The healthcare industry is one that thrives on trust and ethics. When that trust is compromised by fraudulent activities, it’s essential to take a stand.
In this blog, we will explore the journey of whistleblowers, those who discover and report healthcare fraud, and how they are the catalysts that set
Whistleblowers play a crucial role in exposing unethical practices, fraud, and other wrongdoings in various sectors. Recognizing their importance, many jurisdictions offer financial rewards to
The healthcare industry has witnessed a growing collaboration between pharma companies and genetic testing firms in what is known as sponsored testing programs. Under the
Medical fraud is a pervasive issue that undermines the integrity of the healthcare system, affecting patients, providers, and taxpayers alike. As healthcare costs continue to
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
