Health Insurance Fraud

Healthcare Fraud's Most Wanted

The “Ten Most Wanted Fugitives” list has been in existence since March 14, 1950 when a reporter asked the FBI for the names and descriptions of the “toughest guys” the Bureau would like to capture. 154 fugitives have been captured or located as a result of citizen cooperation. The list made these fugitives famous, making

How This Balancing Act Will Leave You Tipped Over

You visit the doctor for a routine exam. The co-pay portion is paid on the spot and you assume that your insurance provider picked-up the balance. The next thing you know, you receive that familiar white envelope in the mail – a bill. But wait – you paid your portion, right? What is Balance Billing?

Don’t bite off more than you can chew…

FACT – Medicare fraud costs taxpayers roughly $60 billion a year. FACT – The government pays tens of million dollars annually to contractors to detect Medicare fraud. FACT – Whatever the health officials are doing in an attempt to stop Medicare fraud is not enough. Attempts to Stop Medicare Fraud A report, not yet issued

Worker's Compensation Fraud

Workers compensation is an idea as old as time. Seriously. The ancient Sumerian Nippur Tablet – no. 3191, dating back to 2050 BC, laid out the laws of monetary compensation for specific worker injuries.  The ancient Greeks, Romans, Arabs and Chinese all had compensation schedules in place too. Since then, obviously, the concept has evolved


You’ve read it, and signed that you’ve read it, but did you get it?  Just what is HIPAA? HIPAA, the Health Insurance Portability and Accountability Act, is a federal law to prevent abuses of your personal health information.  Here’s the lowdown on what it’s all about. What is HIPAA? WHO? Under the HIPAA rules the

It’s About Time!

Finally. Yes, finally, the government has acknowledged its limitations and turned to the private sector to help it address escalating Medicare costs. Currently $2.2 trillion is spent on healthcare, and it is estimated that $100 billion is lost in waste and fraud within the Medicare system. Ouch. With considerable help from several very big (small)

Your Wallets Stolen, What’s next?

Your wallet is gone and you immediately call your credit card company to report your credit cards are missing (with their thousand dollar limits).  Did you also call your insurance company about your Medical ID (with its $1 million limit)?   Medical identity theft is now considered to be one of the fastest growing crimes in