Digital health is exciting, innovative and forward-looking. Investors have invested billions of dollars anticipating dividends from the next phase of the Big Data revolution: collecting and synthesizing millions of data points that, in turn, could feed into artificial-intelligence-enhanced ...
paid $70 million for unlawful subcontracting practices in Navy procurement. These cases underscore the importance of compliance for entities engaged in government contracts and healthcare services. Tags Fraud & Abuse Categories Health Law Highlights Whether “Willful” Under the Anti-Kickback Statute ...
Healthcare fraud, waste, and abuse continue to be a problem for public and private programs. Each year, the Department of Justice (DoJ) reports on the major cases and takedowns involving physicians, pharmacists, and other medical providers. RevCycleIntelligencebreaks down some of this...
An interactive machine-learning-based electronic fraud and abuse detection system in healthcare insurance[J] . Ilker Kose,Mehmet Gokturk,Kemal Kilic.Applied Soft Computing . 2015Ilker Kose, Mehmet Gokturk, and Kemal Kilic. 2015. An Interactive Machine-learning-based Electronic Fraud and Abuse ...
UnitedHealthcare is committed to preventing fraud, waste and abuse in Medicare benefit programs and we're asking for your help. If you think you've seen or been a victim of fraud, please report it to us immediately. Not sure if what you've seen is fraud? We can help you with that,...
Healthcare fraud and abuse cases cost the industry billions of dollars a year. Without processes in place to detect and prevent fraudulent activities, healthcare providers could face an investigation that may cost them their reputation and revenue. ...
Detecting fraudulent and abusive cases in healthcare is one of the most challenging problems for data mining studies. However, most of the existing studies haveKose, IlkerGokturk, MehmetKilic, KemalSocial Science Electronic PublishingAn interactive machine-learning-based electronic fraud and abuse ...
HEALTHCARE FRAUD & ABUSE SETTLEMENTS DATABASE Search our Settlements Database to learn about some of the most significant False Claims Act cases since 2012. Settlement Year 20252024202320222021202020192018201720162015201420132012 Settlement Year Select AllDeselect All ...
Healthcare fraud involves wide-ranging illegal behaviors. It includes such activities as physicians who bill insurance companies or the government for services never provided, or that were unnecessary and, in many cases, harmful for the well-being of patients. Corporations are also involved in health...
I work in the healthcare regulatory space, focusing on federal and state fraud and abuse issues. As the healthcare industry has evolved and focused more on delivering value, many fraud and abuse laws, which were written decades ago, have not kept pace and have been seen as barriers to inno...