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Month: June 2018

Healthcare Fraud Action Highlights Ongoing Problem

The sweep of healthcare fraud cases announced by the Justice Department is sweeping and vast. Over $2 billion in fraud was identified by 600 defendants charged across the nation, defrauding health insurance for opioids that were re-sold as well as general services. A stunning $350 million of that fraud comes from South Florida alone. Those […]

Over-payments: Getting the Advantage for the Insurer

Overpayments to providers by insurers happen all the time. It’s not a matter of fraud but the complexities of the system. Medical providers rarely have fixed tables of cost for any given services and the actual price for any given treatment is often negotiable. Insurers have a disadvantage in this system. The position is made […]