Healthcare frauds and abuses: No more!
Healthcare expenditure continues to grow without any signs of budgetary cuts. In the last fiscal year, the expenditure crossed $1... View Article
August 16, 2019
A nightmare for both Healthcare Providers and Medicaid Enrollment Analysts
Providers are struggling – Providers face a tough challenge in filling paper applications costing weeks and even months due to the increasingly... View Article
March 24, 2017
While Medicaid focus on mere member eligibility, the MCOs reap the benefit
The attitude, the opportunity and the environment together bolsters certain individuals to abuse the healthcare system. When it comes to ineligible beneficiaries, fraud... View Article
December 8, 2016
Fraud – not just confined to Providers
Medicaid, a federal–state health-financing program for low-income and medically needy individuals, is a significant expenditure for the federal government and... View Article
August 4, 2016
Fraud and abuse – the inconvenient truth
Things tend to go wrong if left alone. One of the most popular Murphy’s law states that Anything that can go wrong,... View Article
May 11, 2016
Effective Screening with Provider Risk Scores
The National Health Care Anti-Fraud Association (NHCAA) estimates that financial losses due to healthcare fraud are in the tens... View Article
January 19, 2016