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Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys

Verisys

Healthcare Fraud Crackdown! With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. The post Healthcare Fraud Crackdown: Telehealth Fraud & Improper Billing Scams | Verisys appeared first on Verisys.

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January 2024 Bad Actors Roundup

Verisys

Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Million Civil Judgment and Drug Treatment Center Enters Settlement to Pay $2.2

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Preventing Unlicensed Individuals and Subsequent Fraudulent Claims Submission

Provider Trust

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud. Further, Ms.

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Reporting Healthcare Non-Compliance Is Non-Negotiable

MedTrainer

In this blog, we’ll outline why reporting healthcare non-compliance is non-negotiable and how software platforms make it easier to stay in compliance with the myriad regulations that govern good healthcare. Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry.

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The Importance of Primary Source Verification for Practitioner Credentials

Verisys

State licensing boards verify practitioner license type and status. An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. Here are some examples: Medical schools verify completion of education.

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A Story About Provider Data

Verisys

At the emergency room, the doctors begin a series of tests to discover what’s wrong with her knee. It will take months for her to recover, and as she does, Sue will visit multiple clinics and doctors. Estimates range from 3% – 10% of the entire federal healthcare funding lost to fraud, waste, and abuse.

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A Story About Provider Data

Verisys

At the emergency room, the doctors begin a series of tests to discover what’s wrong with her knee. It will take months for her to recover, and as she does, Sue will visit multiple clinics and doctors. Estimates range from 3% – 10% of the entire federal healthcare funding lost to fraud, waste, and abuse.

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