It seems there are lessons to be learned from various national medical fraud units. The first
would be that there is no valid reason to think that any country in the world is exempt from …

News claims are paid,” Saccoccio says, adding that CMS can use this information to identify
potentially fraudulent claims and analyse them further. Payers of health care, including …

An invaluable tool equipping healthcare professionals, auditors, and investigators to detect
every kind of healthcare fraud According to private and public estimates, billions of dollars …

According to the National Health Care Anti-Fraud Association in the United States (www.
nhcaa. org), health care fraud is an intentional deception or misrepresentation that could …

Fraud affects all businesses and industries, but when health care is viewed as a single
industry including hospitals, physicians, insurers, pharmaceuticals, etc., fraud in this single …

Since 1990, GAO has designated Medicare as a high-risk program because its complexity
and susceptibility to payment errors from various causes, added to its size, have made it …

Purpose The purpose of this paper is to make readers aware of the extensiveness of
healthcare fraud in the USA and how it involves and affects the government, healthcare …

Although punishable under the Criminal Code of Canada to a maximum 14 years in prison,
medical fraud isn't as aggressively prosecuted in Canada, in comparison with the US …

In fiscal year 1997, the federal government collected $1.1 billion in criminal fines, civil
judgments, and settlements as a result of health care fraud enforcement efforts.'Health care …

“I was very pleased to be asked to contribute an updated preface to this renewed version of
the 'Financial Cost of Healthcare Fraud'report. I have spent a significant part of my career …