Connecting Healthcare Fraud Schemes with Fraudsters

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2 Responses

  1. The spectacular incompetence of third-party payers

    To paraphrase Tolstoy, all competence is alike, but every incompetence is incompetence in its own way.

    Every time we think we’ve seen the horizon of incompetence, we are dealt a surprise. The sun never sets on incompetence. In health care, incompetence can be found in odd places, such as the three recent examples en-countered with third-party payers by this radiologist.



  2. 6 of the Most Recent Healthcare Frauds, Chronological Order

    1. Comprehensive Health Services pays $3.9 million for allegedly double billing IRS – Feb. 9
    2. Aetna awarded $51.4 million from Texas hospital in false billing case – Feb. 8
    3. TeamHealth to pay $60 million to settle ‘upcoding’ claims as acquisition by Blackstone wraps up – Feb. 7
    4. Ohio doctor pleads guilty to using his clinic to supply drugs, evading more than $3.5 million in taxes – Feb. 1
    5. Kaiser Permanente fine $2.5 million over missing data tied to California Medicaid – Jan. 27
    6. Cigna reaches settlement, will pay penalty over psych test policy – Jan. 25

    Source: Healthcare Finance News


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