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Prescription for Peril, examining unreported and elusive aspects of drug diversion, the role insurance fraud pays in financing prescription abuse, and the high cost to insurers and consumers. [18] Special Investigative Unit study, conducted to learn how insurers measure the performance of their Special Investigative Units. A review of the ...
Insurance fraud is any act committed to defraud an insurance process. It occurs when a claimant attempts to obtain some benefit or advantage they are not entitled to, or when an insurer knowingly denies some benefit that is due. According to the United States Federal Bureau of Investigation, the most common schemes include premium diversion ...
The Justice Department announced a sweeping series of charges Thursday against nearly 200 people accused of participating in health care fraud schemes with false claims topping $2.7 billion. More ...
The charges coincide with an ongoing shortage of several stimulant medications commonly prescribed to treat ADHD, according to the U.S. Centers for Disease Control and Prevention. A disruption ...
Law enforcement officers spend a significant amount of time investigating cases involving prescription fraud, many of which also involve insurance, Medicare, or Medicaid fraud. Prescription drug diversion occurs by faking, forging, or altering a prescription; obtaining bogus prescriptions from criminal medical practitioners; or buying drugs ...
Jill makes $2,200 per month, too much to qualify for Ohio Medicaid, but too little to afford private health insurance premiums and prescription drugs. We’ve talked at length about her struggles ...
The hackers stole health insurance information, including plan and policy details, as well as billing, claims and payment information, which Change said includes financial and banking information.
One of the largest pharmacy service providers in the United States has confirmed that hackers accessed the personal data of almost six million patients. PharMerica operates more than 2,500 ...