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
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
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
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
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
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.
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
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
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
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
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
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
Imagine this scenario: You’re a healthcare administrator who notices repeated referrals to a specific supplier for medical equipment, despite the availability of equally qualified providers.
The Hidden Crisis: Healthcare Fraud in Medicare Advantage When most people hear about healthcare fraud, they think of doctors and hospitals exploiting the system. However,
