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  • Types of Fraud
    • Healthcare Fraud
    • Managed Care Insurance Fraud
    • Hospital Fraud
    • Respiratory Fraud
    • Pharmaceutical Fraud
    • Podiatry Fraud
    • Nursing Home Fraud
    • Sponsored Genetic Testing Fraud
    • Procurement Fraud
    • Financial ​Fraud
  • Laws & Programs
    • FCA
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    • SEC
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Report fraud
Healthcare, help and physical therapy with patient and woman in nursing home.

How to Spot the Red Flags of Physical, Occupational and Speech Therapy Fraud

September 13, 2023 No Comments

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

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Side view of diverse medical team of doctors discussing their shifts on chart at hospital.

Unveiling the Unfortunate Reality: How Doctors Become Unwilling Participants in Medical Billing Fraud

August 29, 2023 No Comments

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

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Medical Coding Bill And Billing Codes Spreadsheets

Will AI replace medical billing and coding and what impact would that have on billing fraud?

August 15, 2023 No Comments

In the ever-evolving landscape of healthcare, advancements in technology continue to shape the industry. One area that has garnered attention is artificial intelligence (AI) and

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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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Report Nursing Home and Assisted Living Fraud

How to Report Nursing Home and Assisted Living Fraud

May 23, 2023 No Comments

Medicare fraud within Assisted Living Facilities across the country. As more facilities take advantage of the system, it’s important to know how to spot the

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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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Billing and Coding Fraud in Managed Care Organizations

Billing and Upcoding: How Physicians Can Stand Up to Managed Care Organizations

April 28, 2023 No Comments

As healthcare costs continue to rise, government programs such as Medicare and Medicaid, as well as private insurers, rely heavily on managed care organizations (MCOs)

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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

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Quiet silent shh gesture with finger on lips.

The Importance of Confidentiality in Healthcare Fraud Whistleblowing

March 4, 2025 No Comments

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

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respiratory care services or rental equipment

What is Respiratory Fraud and How Can You Spot It?

February 17, 2025 No Comments

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

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Blurred interior of hospital - abstract medical background.

Top 5 Healthcare Fraud Schemes to Watch for in 2025

February 11, 2025 No Comments

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

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Professional podiatrist working.

Is Your Podiatrist a Crook? Exposing Podiatry Skin Graft Fraud at Your Job

January 30, 2025 No Comments

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.

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Hands of female medical worker and male with hospice care.

7 Most Common Examples of Hospice Fraud

January 9, 2025 No Comments

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

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A patient lies on a hospital bed.

Future Trends in Healthcare Fraud Detection and Prevention

December 2, 2024 No Comments

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

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A person's hand signing a legal document.

What to Expect After Blowing the Whistle on Healthcare Fraud

November 13, 2024 No Comments

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

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Businesswoman hands working in Stacks of paper files for searching and checking document achieves on folders papers at busy work desk office

A Step-by-Step Guide to Filing Your Whistleblower Claim

October 30, 2024 No Comments

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

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Worried serious businesswoman looking at paper bill sitting at desk in office.

The Whistleblower’s Guide to Collecting Healthcare Fraud Evidence

October 23, 2024 No Comments

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

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