Could your surgery program be accused of fraud? Recent cases raise question

February 2008
Same-Day Surgery;Feb2008, Vol. 32 Issue 2, p13
Academic Journal
The article provides information on the accusation of four surgery centers in New York for submitting an insurance claim with false statement which maybe considered insurance fraud.


Related Articles

  • Fraud investigators warned about going too far. Esters, Stephanie D. // National Underwriter / Property & Casualty Risk & Benefits Manag;10/07/96, Vol. 100 Issue 41, p18 

    Reports that during a 1996 conference of the International Association of Special Investigation Units (IASIU) in Tucson, Arizona, insurers were warned that those who hired investigators to do surveillance work on suspicious claims must make sure that their contacts follow the privacy laws of...

  • Hospitals' legal headache. Taylor, Mark // Modern Healthcare;12/4/2006, Vol. 36 Issue 48, p10 

    The article relates the outlook of several legal experts in the U.S. concerning the federal government's commitment to fighting fraud in the healthcare sector in 2007. A record $1.3 billion in False claims Act settlements from hospitals and health systems in fiscal 2006 is unlikely to be matched...

  • An Analysis of the NAIC Model Fraud Unit Act. Maroney, Patrick F. // Journal of Insurance Regulation;Dec85, Vol. 4 Issue 2, p43 

    In 1976 the Florida legislature enacted a Division of Fraudulent Claims and an Insurance Fraud statute to combat escalating premiums that were perceived to result in part from insurance fraud. The NAIC later promulgated Model Regulations addressing the issue of insurance fraud by using Florida's...

  • Self-insureds lagging in detection of claims fraud. Wojcik, Joanne // Business Insurance;2/3/2003, Vol. 37 Issue 5, p10 

    Reports that companies that are largely self-insured lag behind in the detection of fraudulent insurance claims. Reasons why losses within such companies go unreported to insurers; Sources from where the self-insured companies can obtain fraud detection and investigation services; Measures...

  • IRC Study Finds 1 In 3 U.S. Adults Unfazed By Insurance Claim Exaggerations In Some Cases.  // Insurance Advocate;7/28/2003, Vol. 114 Issue 28, p25 

    Reports on the public opinion about insurance claim exaggerations in the U.S. Level of tolerance in the practice of dishonesty within the industry industry; Work of the Insurance Research Council to monitor public attitudes toward the various forms of insurance fraud; Willingness to perform...

  • Insurance Fraud Levels Off? Blake, Kevin // Consumers' Research Magazine;Dec98, Vol. 81 Issue 12, p38 

    Reports on the insurance-claims fraud in the United States. Estimated amount of auto claims fraud in 1996; Figures on health care claims fraud.

  • Claims.  // Canadian Underwriter;May2014, Vol. 81 Issue 5, p12 

    The article offers updates on Canadian insurance claims including a report from Insurance Service Office Inc.'s PCS on the absence of weather catastrophes in Canada for three years as of the first quarter of 2014, and that the value of fraudulent household content claims was highest in 2013.

  • Rampant Fraud Reports Viewed Skeptically in China.  // Best's Review / Property-Casualty Insurance Edition;Feb99, Vol. 99 Issue 10, p20 

    Presents media reports that suggested as much as 20 percent of insurance claims in mainland China were fraudulent. Views of one Hong Kong-based actuary on the issue; Remarks from Fanny Reed, a consultant with Winterthur Insurance; Causes of the fraud.

  • Crash for cash. Heath, James // Commercial Motor;5/15/2008, Vol. 207 Issue 5280, p50 

    The article discusses insurance frauds by staged collisions of vehicles in Great Britain. Research by the Insurance Fraud Bureau (IFB) of Great Britain indicated that more than 22,500 such cases took place between 1999 and 2006. It mentions that fraudsters made claims for induced collisions,...


Read the Article


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

Try another library?
Sign out of this library

Other Topics