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Providing quality care and comfort to patients is the primary concern of hospice and homecare agencies. Unfortunately, it’s not the only one. Owners also need to be proactive and vigilant to ensure they are preventing healthcare fraud and abuse Whether the fraud is an accident due to negligence or a scam carried out by an [...]
Workers comp fraud takes many forms and costs American employers billions of dollars a year in taxes, increased cost of consumer goods, related comp increases, lost employee income, and lost business income. From corporations to professional practices to employees, workers compensation fraud is a scourge that unfortunately isn’t going anywhere. However, by recognizing the signs [...]
Medicare fraud and abuse cost taxpayers approximately $60 billion a year. It’s one of the fastest and most profitable crimes in the U.S. The government health insurance program that covers 46 million elderly and disabled Americans is being hijacked by opportunists preying on patients, doctors, suppliers, and lack of oversight of the system itself. According [...]
As more and more baby boomers reach their golden years, more and more of them need the services of homecare and hospice agencies. This rapid influx is good for the industry, but homecare and hospice agencies need to be as vigilant as ever in their hiring practices of caregivers. Why? Because medical identity theft is [...]
According to the FBI, consumer identity theft is the fastest growing crime in the U.S. Unfortunately, corporations, which essentially have the same rights and risks as citizens, are increasingly becoming victims of professional identity thieves. Indeed, a company has as much of an identity as the rest of us. The difference between consumer identity theft [...]
Medical ID theft occurs when an identity thief uses another person’s social security number or another personal identifier to obtain medical care, products, services, or insurance benefits. The problem is widespread in all areas of healthcare, and it is a growing concern in professional practices. A breach of patient information can cripple a practice financially [...]
Pharmacy fraud is a leading cause of healthcare fraud and abuse. From drug abusers to black market drug sales to unscrupulous healthcare providers, pharmacy fraud is rampant. The National Health Care Anti-Fraud Association (NCHAA) estimates that $100 million is lost every day to healthcare fraud, a significant portion of which is due to pharmacy fraud. [...]
Healthcare fraud and abuse is an epidemic that takes many forms. One of the fastest growing types of healthcare fraud and abuse involves durable medical equipment (DME). Durable medical equipment is used to assist people with many different kinds of ailments in their residential environments, and provides support for both temporary and permanent conditions. Unfortunately, [...]
Overbilling is one of the most common types of healthcare fraud. It typically occurs when a physician or a billing office submits a claim for services never provided or gives a diagnosis that is more serious than the original diagnosis in order to gain greater reimbursement. Overbilling and other fraudulent claims are rampant, as evidenced [...]
From Medicare fraud to fake healthcare plans to phony claims, healthcare fraud and abuse is on the rise. The stories, cases, and facts are piling up, and they’re as real as they are horrifying. For example, a doctor at a radiology clinic in Beverly Hills, California, recently settled a case for nearly $650,000 based on [...]
