Federal health fraud probes could aid insurers

Bell, Allison
November 1998
National Underwriter / Life & Health Financial Services;11/30/98, Vol. 102 Issue 48, p30
Focuses on federal health fraud investigations that could benefit health insurance companies in the United States. Increased allocation for hiring health care fraud investigators given to the US Health Care Financing Administration; Need for managed car plans to audit their own providers.


Related Articles

  • Seeking a cure for health care fraud. Coccia, Regis // Business Insurance;11/17/97, Vol. 31 Issue 47, p20B 

    Discusses issues about the health insurance fraud in the United States. Estimated amount of fraudulent health care claims according to the Coalition Against Insurance Fraud in Washington; Solution to the health care fraud problem; State-by-state estimates of insurance fraud based on 1995 data.

  • HIGH-RISK PATIENTS TO FALL UNDER MORE SCRUTINY.  // Medical Economics;2/25/2011, Vol. 88 Issue 4, p17 

    The article reports on the Medicare, Medicaid and Children's Health Insurance Program of the U.S. government in which patients or enrollees who are identified as high-risk for fraud will undergo detailed screening as part of the objective of the Patient Protection and Affordable Care Act to stop...

  • NICB new programs integrates all P/C claims in single data base to track, detect fraud.  // Insurance Advocate;06/08/96, Vol. 107 Issue 23, p15 

    Reports that the National Insurance Crime Bureau's (NICB) ClaimSmart program that will integrate all property-casualty insurance claims in a single database. Tracking of claims activity; Detection of insurance fraud; Comments from bureau officials.

  • Patients can help detect health insurance fraud.  // NCAHF Newsletter (08903417);Nov/Dec96, Vol. 19 Issue 6, p3 

    Focuses on ways that patients can help detect health insurance fraud in pharmacy. Includes counting the number of pills in prescriptions; Asking doctors for the total number of pills being prescribed; Checking ointments and creams for size; Vulnerability of Medicaid and Medicare to fraudulent...

  • SOS Plus is unveiled for ins. fraud investigators. Esters, Stephanie D. // National Underwriter / Property & Casualty Risk & Benefits Manag;9/09/96, Vol. 100 Issue 37, p54 

    Introduces SOS Plus, a database and public information developed jointly by American Insurance Services Group Inc. and Information Connectivity Group to help fight insurance fraud. Launching of SOS Plus by early 1997.

  • Fraud-fighting efforts effect sizable savings. Gradison, Bill // Best's Review / Life-Health Insurance Edition;Aug95, Vol. 96 Issue 4, p52 

    Looks at the underwriting business and reports on the benefits of investing in efforts to fight fraud in disability income insurance. Results of a disability insurance anti-fraud survey conducted by the Health Insurance Association of America; When many of the programs were implemented.

  • Ending insurance fraud would lower premiums. Merrill, Dean B. // New Hampshire Business Review;12/8/94, Vol. 16 Issue 25, p30 

    Discusses efforts in combatting insurance fraud. Cost of insurance fraud to consumers; Insurance industry's development of a list of fraud indicators; Insurance companies' establishment of Special Investigative Units to pursue cases of suspected fraud; Creation of the National Insurance Crime...

  • Preventing insurer fraud. Khan, Sameera // Business Insurance;8/8/94, Vol. 28 Issue 32, p3 

    Discusses House Resolution 665, or the Insurance Fraud Prevention Act. Criminal and civil liabilities of persons found guilty of committing internal fraud against insurance companies; Prison terms; Fines; Need for the law; Enforcement problems.

  • Insurance fraud now recognized as 2nd largest white collar crime in U.S.; control is key to...  // Insurance Advocate;07/12/97, Vol. 108 Issue 27, p24 

    Looks at an article written by Richard Carris and Michael Colin, published in the `CPCU Journal' which offers practical recommendations to assist the insurance industry in its fight against fraud. Annual cost of insurance fraud; Loss prevention as the cornerstone of an effective fraud risk...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics