medical fraud News

Property Casualty Medical Fraud, Waste Rampant

Fraud continues to be problem for the insurance industry and medical fraud, in particular, is growing according to Andy Tolsma, solutions manager for the P&C Medical Fraud payments accuracy division for Verisk Health. Industrywide 10 percent of all P&C have …

Medical Records More Valuable to Hackers Than Credit Card Info

Your medical information is worth 10 times more than your credit card number on the black market. Last month, the FBI warned healthcare providers to guard against cyber attacks after one of the largest U.S. hospital operators, Community Health Systems …

INTERTEL Partners With NICB

The National Insurance Crime Bureau (NICB) is pleased to announce that INTERTEL, Inc. (www.intertelinc.com), one of the original providers of Medical Canvass Investigations, has joined the organization as a strategic partner. INTERTEL’s Medical Check investigations are designed to canvass medical …

North Carolina Doctor Pleads Guilty to Medical Fraud

Federal prosecutors say a Huntersville, N.C., doctor has pleaded guilty to medical fraud and tax evasion. Mark Tuan Le, 55, was accusd of hiding $2.4 million to build an 8,000-square foot home on Lake Norman, The Charlotte Observer reported. Le …

Texas Lawyer Gets Prison for Mail, Medical Fraud

An East Texas lawyer convicted in a mail and medical fraud scheme has been sentenced to more than three years in prison. A federal judge in Tyler on Wednesday also ordered 55-year-old Steven Rushing of Longview to repay more than …

Durable Medical Equipment Fraud on the Rise: NICB

Durable medical equipment (DME) fraud could fall between $1.5 and $5 billion in a single year, according to a new report by the National Insurance Crime Bureau (NICB). The report examines questionable claims (QC) referred to the NICB during the …

4 Convicted in California for $154M Medical Insurance Fraud

Orange County, Calif., prosecutors say four people have been convicted of crimes relating to a $154 million medical fraud scheme in which hundreds of healthy patients underwent unnecessary surgeries to fraudulently bill insurance companies. Farrah Emami, a spokeswoman for the …

Memories of First Car Thefts Sparked by NICB Centennial

The year was 1912 and Woodrow Wilson was president. Jim Thorpe won Olympic gold in the decathlon and pentathlon events at Stockholm, Sweden. New Mexico became the 47th state in January followed a month later by Arizona completing the contiguous …