Leading underwriters are focusing on technology, operational efficiency and agent support while preparing for market recovery ...
CELEBRATING 50 YEARS TOGETHER. MEDICARE FRAUD PREVENTION WEEK FOCUSES ON THE ACTIONS EVERYONE CAN TAKE TO PREVENT MEDICARE FRAUD, ERRORS AND ABUSE. IT ALWAYS OCCURS DURING THE WEEK OF JUNE FIFTH OR ...
The Superior Court of New Jersey recently upheld a decision by the state’s trial court that Wayne (N.J.) Surgical Center and its physician-owners did not violate the state’s Insurance Fraud Prevention ...
The U.S. Department of Labor terminated a grant to the Kansas Department of Labor (KDOL) for unemployment insurance fraud prevention. KDOL Secretary Amber Shultz criticized the decision, stating it ...
As insurance fraud evolves, investigative practices must adapt quickly. Strengthened insurance investigations reflect a ...
CINCINNATI, June 3, 2024 /PRNewswire/ -- Fraud costs Medicare an estimated $60 billion per year. It costs Medicare beneficiaries in time, stress, their medical identities, and potentially their health ...
When embedded within a case management framework, Agentic AI can detect subtle anomalies, highlight inconsistencies, and surface patterns traditional systems miss.
State insurance regulators and county prosecutors are deploying teams to areas affected by the disastrous fires in Los Angeles County to prevent — and prosecute — insurance fraudsters targeting ...
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PIDS study calls for tighter PhilHealth fraud controls
As the Universal Health Care (UHC) law reshapes hospital payments, a new study is calling for an overhaul of the fraud ...
COLUMBIA, S.C. (WSPA) – Insurance fraud is happening every day across South Carolina. State law enforcement and insurance companies have noticed that criminals are now staging fake medical claims and ...
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