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  • Types of Fraud
    • Healthcare Fraud
    • Respiratory Fraud
    • Podiatry Fraud
    • Financial ​Fraud
    • FCPA Fraud
    • Managed Care Insurance Fraud
    • Nursing Home Fraud
    • Pharmaceutical Fraud
    • Procurement Fraud
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  • Laws & Programs
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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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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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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.

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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

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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.

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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

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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

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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

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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

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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

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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

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