Tag Archives: Risk Scores

How Hospitals Can Leverage Technologies to Combat Fraud

Hospitals must be on constant alert to identify and prevent fraud. In December, the Holzer Clinic in southeastern Ohio settled False Claims Act charges that some of its physicians routinely overcharged Medicare for patient care. And in April, a Dallas … Continue reading

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Insurance Company Cheated Medicare Out of $1 Billion, Says Lawsuit

Josh Valdez took an executive level job in April 2010 expecting to improve medical services at two Puerto Rican Medicare Advantage health plans owned by a subsidiary of New Jersey company: Aveta Inc. But a few months after coming on … Continue reading

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