• 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
  • 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
Insurance broker highlighting the important contract terms, discussing with senior couple

The Hidden Costs of Managed Care Fraud: What Insurance Brokers Need to Know

November 18, 2025 No Comments

As an insurance broker, you build your career on trust and integrity. You’re on the front lines, helping clients navigate the complex world of healthcare.

Read More »

Spotting the Red Flags of Managed Care Fraud in Your Brokerage

August 22, 2025 No Comments

Working in an insurance brokerage means being at the heart of strategic planning, sales goals, and the trusting relationships you build with your clients. That

Read More »
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

Read More »
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

Read More »
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

Read More »
Report Medical Loss Ratio Fraud

What Does Medical Loss Ratio Fraud Look Like in Managed Care

January 23, 2023 No Comments

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

Read More »
Expose Medicare Advantage Fraud

Managed Care: Exposing Medicare Advantage Fraud and Abuse

January 11, 2023 No Comments

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

Read More »
Insurance broker highlighting the important contract terms, discussing with senior couple

The Hidden Costs of Managed Care Fraud: What Insurance Brokers Need to Know

November 18, 2025 No Comments

As an insurance broker, you build your career on trust and integrity. You’re on the front lines, helping clients navigate the complex world of healthcare.

Read More »
doctor medical lab discussing together healthcare teamwork.

Risk Adjustment Factor Fraud: What It Is and How It Impacts Managed Care

November 18, 2025 No Comments

The healthcare system relies on trust and accuracy to function properly. But what happens when that trust is broken for financial gain? Risk Adjustment Factor

Read More »

3 Signs of Sponsored Genetic Testing Fraud and How to Report It

October 21, 2025 No Comments

Healthcare professionals often see how pharmaceutical companies and healthcare providers interact. Most partnerships follow the rules, but some programs—especially sponsored genetic testing—veer into questionable territory.

Read More »
pills in plastic packages

What Is Pharma Fraud? A Practical Guide to Spot It and Report It

September 30, 2025 No Comments

Pharmaceutical fraud affects every corner of healthcare, from the clinic to the billing office. When companies use deceptive practices to push drug sales or inflate

Read More »

Spotting the Red Flags of Managed Care Fraud in Your Brokerage

August 22, 2025 No Comments

Working in an insurance brokerage means being at the heart of strategic planning, sales goals, and the trusting relationships you build with your clients. That

Read More »

Respiratory Fraud in Healthcare: Common Practices and How to Spot Them at Work

August 18, 2025 No Comments

Every year, respiratory fraud quietly siphons billions of dollars from the healthcare system. While its impacts are enormous, it often goes undetected by those in

Read More »

Unmasking Enrollment and Dis-Enrollment Schemes in Managed Care Organizations (MCOs)

July 30, 2025 No Comments

Managed care insurance fraud can cost millions of dollars and jeopardize patient trust, but recognizing and addressing it can change everything. Among the most deceptive

Read More »
skin graft on a foot in a doctor's office

Podiatry Skin Graft Fraud: Top Scams and Their Consequences

June 18, 2025 No Comments

Skin graft fraud in podiatry is a growing concern that significantly impacts patient care, trust, and insurance systems. Fraudulent practices in this field not only

Read More »
businessman working at desk

Breaking Down the Numbers: How Medical Billing Fraud Impacts Healthcare Costs

June 9, 2025 No Comments

Medical billing fraud is a costly and widespread issue that affects more than just finances—it impacts resources, patient care, and the integrity of the healthcare

Read More »
« Previous Page1 Page2 Page3 Page4 Page5 Next »