Archive 04/02/2021

The Challenge of Health Care Fraud

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It’s an undisputed fact that a few of those claims are deceptive. Even though they constitute only a tiny percentage, these fraudulent claims carry a substantial price tag, both fiscally and how they affect our perception of their healthcare system’s ethics and worth. These are individuals that are exploited and exposed to unnecessary or dangerous medical procedures. Or whose medical records are endangered or whose good insurance policy advice is utilized to submit falsified claims. Do not be tricked into believing that healthcare fraud is a victimless crime. The Health Care Fraud Group takes care about the growing issue healthcare fraud is. There’s not any doubt that health care fraud may have catastrophic outcomes.

False Patient Diagnoses and Medical Histories

diagnoseHealth care fraud, for example, every fraud, needs that untrue information to be represented as fact. A too common healthcare fraud strategy entails perpetrators who use patients by entering their medical documents, false diagnoses of health conditions they don’t have, or even more severe conditions than they do have. This can be done so that fake insurance claims could be filed for payment, until and unless this discovery is created.

Necessarily this happens when circumstances are especially challenging to get a patient, these faulty or cracked diagnoses become a part of their patient’s recorded medical history, at least at the health insurer’s records.

Medical Identity Theft

doctorAs a customer, you’re undoubtedly aware of the perils of identity theft along with the devastating impacts it may have on your fiscal wellbeing devoting bank balances, credit ratings, along with your capacity to borrow. However, are you as comfortable with all the dangers posed by medical identification theft? You ought to be, considering that over two million Americans are victims of the escalating crime, as stated by the Medical Identity Theft Alliance (MIFA).

When an individual’s name or other identifying information can be used without that individual’s knowledge or permission to obtain health care services or merchandise or submit false insurance claims for payment, then that is medical identity theft. Medical identity theft often leads to erroneous data being added to an individual’s medical record and the development of an entirely fictitious medical document from the victim’s name.