Updated: Apr 18, 2024 chinadaily.com.cn Print China plans to launch a campaign to crack down on medical insurance fraud this year, focusing on malpractices including making false claims for medical services and products, as well as illegitimate resale of insurance-covered medication...
The frequent occurrence of fraudulent medical insurance funds has done great harm to the operation and development of the medical insurance system. The paper first sorts out the cases of medical insurance fund fraud which have great effect on the society in recent years. Then it analyzes the core...
A medical lien is a legal claim made by an insurance company or a medical provider that a third party should be reimbursed directly for the care they provided someone after an accident. In most personal injury cases, there is a claim for reimbursement for medical services that can be applied...
I can see how medical insurance fraud is harmful to every one who is trying to follow the rules. I'm sure fraud investigations do take a lot of time and money, resulting in higher health care costs for the rest of us. But, it is necessary to investigate the fraud also, because fraudu...
A“revolutionary pill” against COPD or a dangerous fraud? PublishedThursday 19 December 2024 “An American doctor invented a drug that claims to cure COPD within three days.” Does this announcement herald a medical sensation or a bogus and potentially dangerous falsehood?
SUSPECTED FRAUD CASES ; Medical Services Not in Compliance, State Audit FindsWest Virginia's Bureau of Medical Services is not following a2011 federal directive to suspend...Kabler, Phil
an action to compensate damages caused by unfair conduct, if there has been fraud or negligence on the part of the agent; and an action for unjust enrichment, which will only apply whenever the unfair conduct damages a legal position covered by an exclusive right or another legal position of...
Illustrative Example: A data breach in a healthcare institution can expose sensitive patient information to malicious actors, leading to identity theft, insurance fraud, or even jeopardizing patient safety. For instance, a cybercriminal gaining unauthorized access to a patient’s EMR may alter critical...
The official blog of the peer-reviewed journal Medical Care, sponsored by the Medical Care Section of the American Public Health Association.
Healthcare programs and insurance initiatives play a crucial role in ensuring that people have access to medical care. There are many benefits of healthcare insurance programs but fraud in healthcare continues to be a significant challenge in the insuran