What Does Healthcare Fraud Look Like?
Healthcare fraud has many faces as a recent Medicare Fraud Strike Force operation demonstrated. In early October Medicare Fraud Strike Force operations in seven cities charged 91 individuals – including doctors, nurses and other licensed medical professionals – for their alleged participation in Medicare fraud schemes involving approximately $429.2 million in false billing. The areas […]
Answers to Fighting Fraud Waste and Abuse in Healthcare
Ascellon’s James Baker on fighting fraud, waste and abuse in healthcare [Youtube: http://www.youtube.com/watch?v=u3D-Fbdt8lc&w=560&h=315]
Ascellon Attending Premier Health Care Fraud Conference in OKC
The Ascellon team is attending the National Association for Medicaid Program Integrity (NAMPI) Conference, September 16th through the 18th, in Oklahoma City. NAMPI membership is comprised of state and federal officials whose primary task is to investigate instances of fraud & abuse in the Medicaid Medical Assistance Program. NAMPI’s membership currently consists of attorneys, nurses, […]
Evolving From Fee for Service to Managed Care
As fee based Healthcare evolves into managed care, new methods of controlling costs will be a priority for government and businesses trying to avoid waste and fraud. Fee for service and managed care present very different challenges for agencies and businesses concerned about healthcare fraud. Added to the list of schemes like billing for services not rendered […]
The Impact of Fraud on Taxpayers and the Government
The National Health Care Anti-Fraud Association estimates that up to 10% of the nation’s annual health care outlay may be lost to fraud and abuse and the government is by far the largest victim. The sheer size of the governments exposure to fraud within healthcare programs is of major concern because taxpayers foot the bill. […]
New Technologies Aid in Detecting Health Care Fraud
Ade Adebisi, CEO Ascellon Corporation As Government agencies are increasingly turn to new technologies in the war against fraud, waste, and abuse, advances in data mining, fraud detection and program monitoring will play a major role.New data mining technologies allow for fraud risk assessment based on comparing data, analyzing trends and comparing problem areas. Analysts can share and […]
Answers in the Battle Against Healthcare Fraud
By Ade Adebisi, CEO Ascellon Corporation As the cost of health care fraud reaches $80 billion annually, Ascellon Corporation has developed “ANSWERS” as the first line of defense against fraud, waste and abuse in the health care industry. According to the Federal Bureau of Investigation (FBI), health care fraud costs the United States $80 billion a year. Rising cost […]