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  • 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
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Report fraud
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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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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Portrait of pensive worried senior woman about medicare fraud

The Hidden Risks of Medicare Advantage Fraud

March 11, 2026 No Comments

When a patient signs up for Medicare, they may choose traditional Medicare or a Medicare Advantage plan managed by a private insurer. In Medicare Advantage,

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Do You Work in a Managed Care Organization? How to Recognize Fraud in Your Workplace

February 12, 2026 No Comments

Because you work inside the system, you are able to notice problems others might miss. You see how patients move through the process and can

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caretaker holding hands of elderly patient

8 Common Hospice Fraud Schemes Healthcare Workers Should Know

January 28, 2026 No Comments

Hospice care is meant to provide comfort and dignity at the end of life. When fraud enters that space, the consequences are not just financial.

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woman with index finger on her lips

The Cost of Silence: Three Ways Unreported Healthcare Fraud Impacts the System

January 28, 2026 No Comments

When you work in the medical field, you see firsthand how much effort goes into patient care. You watch doctors, nurses, and administrators work hard

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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

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

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