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AI is coming to detect healthcare fraud

Forbes’ insights brings us this article about the future of healthcare fraud detection, How AI Can Battle A Beast—Medical Insurance Fraud. This is a future of fraud detection that is inevitable. With the rise of the amount healthcare data it is almost a forgone conclusion that computers are going to be integrated into battling healthcare…

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Even the big dogs are getting caught up in fraud.

Coming to us via NBC26 we see reports of Walgreens settling a huge case of fraud in the state of Wisconsin. Even the large corporations can have what we hope are oversights in their plans so your compliance is essential to keeping your practice safe. The U.S. Attorney in the Eastern District of Wisconsin says…

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Feds claim chiropractor brothers bilked patients out of $80M

$80 Million dollars out of one chiropractic practice. If that does not raise red flags. We are not sure what does. It certainly taints the chiropractic profession but can be found in other healthcare professions. This article comes to us via the New York Post by Kaja Whitehouse, “Feds claim chiropractor brothers bilked patients out…

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Wife of doctor accused of health care fraud arrested

At Patient Options we want you to be aware of everything that happens in your office. Even if it your practice a close knot family affair you need to always analyze what is happening so that you do not commit healthcare fraud of any kind. Patient Options will give you protection against six accusations… Time…

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OIG and Chiropractors: agency response and comments

OIG logo

In the final part of this series we look into how the office of the inspector general responded to the 2015 report. While there is one recommendation that the OIG did not agree with you can see how they agreed with most of the recommendations overall. This is really one of the documents that shows…

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OIG and Chiropractors: Conclusions and Recommendations

OIG logo

Patient Options has been examining the OIG of September 2015 and how the government investigates fraud. This post will bring us to the Conclusions and recommendations that the OIG has come to after sifting through all the data. As you read the following pay attention that in 2013 they found that 20% or 1 in…

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