Healthcare fraud is a serious crime that affects individuals, taxpayers, insurance companies, healthcare providers and businesses in challenging ways. The National Health Care Anti-Fraud [...]
A California-based physician, Donald Woo Lee, has been sentenced to nearly 8 years in prison for billing Medicare $12 million for unnecessary or non-performed procedures; a practice known as [...]
Florida credit union overhauls its fraud prevention with big assist from AI *This article was originally published in American Banker by Carter Pape May 06, 2022, 3:35 p.m. EDT As algorithmic [...]
Upcoding fraud is a type of health insurance fraud where a healthcare provider submits a bill to an insurance provider that’s more expensive than the actual services provided. The goal of this [...]
