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Government Enlists Insurers For Fraud Crackdown

07/30/12

  05:23:14 pm, by MedBen5   , 165 words,  
Categories: News, Health Plan Management

Government Enlists Insurers For Fraud Crackdown

The Department of Health and Human Services is working with health insurers to fight against health care fraud, the Associated Press reports.

Several larger insurers have pledged to share raw data and industrial expertise in order to reduce incidents of questionable payments that have added up to billions of dollars in ill-gotten funds. State investigators will also participate.

“Lots of the fraudsters have used our fragmented health care system to their advantage,” said HHS Secretary Kathleen Sebelius. “By sharing information across payers, we can bring this potentially fraudulent activity to light so it can be stopped.”

While MedBen is not directly involved with the government’s efforts, we’re no less dedicated to preventing fraudulent activity. We help to keep client costs down through our Anti-fraud Unit, which reviews questionable claims and other related information. Additionally, claims examiners are trained to refer potentially fraudulent claims to their departmental manager.

For additional information about MedBen’s anti-fraud measures, contact Vice President of Sales & Marketing Brian Fargus at (888) 627-8683.

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