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March 25, 2024 -- Last month’s cyberattack on a major health claims processor that handles transactions involving 1 in 3 U.S. patient records is still impacting patients and may have lasting ...
If you get your health insurance through your job, it’s also a good idea to discuss your concerns with your human resources department. Or you can contact the U.S. Department of Labor’s ...
According to the Coalition Against Insurance Fraud, health insurance fraud depletes taxpayer-funded programs like Medicare, and may victimize patients in the hands of certain doctors. [20] Some scams involve double-billing by doctors who charge insurers for treatments that never occurred, and surgeons who perform unnecessary surgery. [21]
Under federal law, health care fraud in the United States is defined, and made illegal, primarily by the health care fraud statute in 18 U.S.C. § 1347 states [4] (a) Whoever knowingly executes, or attempts to execute, a scheme or artifice—. (1) to defraud a financial institution; or. (2) to obtain, by means of false or fraudulent pretenses ...
Call 800-MEDICARE (800-633-4227) to report suspected Medicare abuse or fraud. Medicare abuse, or Medicare fraud, is a type of healthcare fraud that affects people enrolled in Medicare. The most ...
Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
Step 4: File Your Complaint. Call your doctor's office if your claim was denied for treatment you've already had or treatment that your doctor says you need.Ask the doctor's office to send a ...
Health-insurance scam. For these scams, you’ll get a robocall or one from an actual person claiming to work for a health-insurance company. They’ll say they can get you discounted insurance ...