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Schemes to defraud the health system

We all know that healthcare fraud is a growing concern. Private (e.g. Blue Cross Blue Shield, Aetna etc.) and public insurers (e.g. the government – Medicare and Medicaid) are both susceptible to fraud...

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Whistle blower to stand trial for reporting doctor

A Texas nurse is waiting to stand trial. For what you might ask… Illegal prescription use? Theft? Wrongful death? How about none of the above? Anne Mitchell is facing trial because she is a whistle...

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Doctors try to have non-pregnant woman give birth

Two North Carolina doctors are in hot water after inducing labor and performing a C-section on a woman who wasn’t pregnant. The doctors and several other interns tried to induce labor because the woman...

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Top 10 Hospital Stories of 2010

Becker’s Hospital Review recently posted their collection of the top 10 hospital stories of 2010. Many of the topics reflect the major hospital stories of 2010 – a few really delve into the growing...

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Employees Are the First Line of Defense

This past month I was double billed for tickets to a sporting event and charged for services at a health club that I did not receive. My credit card company did not “catch” this activity (nor did they...

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Fighting Healthcare Fraud

All puns aside, the government is really turning up the HEAT on healthcare fraud. HEAT (Health Care Fraud Prevention and Enforcement Action Team) was established in May 2009 to crack down and prevent...

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Avoiding Fraud, Medical, and Billing Errors in the Healthcare Arena

A HealthGrades report indicates that there have been between 400,000-1.2 million error-induced deaths during 1996–2006 in the United States. On top of that, $60 to $80 billion is lost each year in the...

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Chicago – New Healthcare Fraud Hot Bed?

Medicare fraud is hitting Chicago – hard. Chicago’s vulnerable population of senior citizens is receiving the brunt of the fraud, with the unethically targeting nursing homes and elderly living...

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Audits Are Increasing “Thanks” to New Healthcare Laws

Hospitals and physicians are experiencing a great number of audits due to new reform laws that hope to reduce healthcare fraud, waste, and abuse. The most recognizable type of audit – RAC (Recovery...

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To Be or Not to Be (a Whistle Blower) that Is the Question

A follow up blog to a post concerning a nurse who was jailed and fined for reporting a doctor… It looks like justice was served in the end. An Unfair Complaint A Texas nurse is waiting to stand trial....

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