Medical Fraud

5 Common Medical Fraud Schemes

Identifying relationships among disparate pieces of information is the key to pinpointing billing practices that indicate fraud, waste, and abuse. Finding those relationships, however, tends to be...

P&C Medical Fraud: 5 Insights for Investigators

Medical fraud perpetrated against property/casualty insurers costs the industry tens of billions of dollars each year. Until recently, special investigations units (SIUs) have struggled to address...

ISO MedSentry: Combating the rise in medical fraud

Medical fraud has become increasingly problematic for property/casualty insurers. This type of fraud, which has recently been a major focus for industry and governing organizations, is at the cente...

Medical Fraud: Reversing the Trend

Claims Journal recently reported that medical, auto, and workers' compensation fraud is on the rise and, as such, has become a major focus for industrywide and governing organizations in 2014. We...