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AIHC
MAY 31, 2022
Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. To combat fraud and abuse, all levels within a medical practice, hospital or health care organization must know how to protect the organization from engaging in abusive practices and violations of civil or criminal laws.
AIHC
APRIL 5, 2022
Due to the huge volume of claims payers receive to process, deny and pay, they have implemented various methods to track providers to detect potential waste, fraud and/or abuse. Prior to appealing a Medicare, Medicaid, TriCare or other Federal Program claim, you should verify that your organization is compliant in this area ( click here ).
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Health Care Performance
JULY 20, 2022
A New York ENT physician was convicted of filing false claims with Medicare and Medicaid. The physician submitted claims totaling about $585,000 to Medicare and Medicaid and was paid roughly $191,000. Mole billing fraud scheme totals $4.1 million in false claims over 7 years.
AIHC
FEBRUARY 16, 2024
The OIG states the following: “Entities also should develop appropriate incentives to encourage participation in the entity’s compliance program.” “The I am a Certified Internal Healthcare Fraud Auditor (CIFHA). Within item #5 are directives from the OIG related to incentives. First, we need to look at exactly what happened.
AIHC
FEBRUARY 16, 2024
The OIG states the following: “Entities also should develop appropriate incentives to encourage participation in the entity’s compliance program.” “The I am a Certified Internal Healthcare Fraud Auditor (CIFHA). Within item #5 are directives from the OIG related to incentives. First, we need to look at exactly what happened.
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