“Fraud Pays”: Congressional Hearing Exposes Deep Cracks in Medicare’s Defenses
A lengthy Ways and Means Committee hearing revealed extensive Medicare system exploitation and ignited partisan debates on fixing it. Witnesses before...
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Analytics: Inside the New Fraud-Fighting Mindset
Young insurance investigators and law enforcement officers often want to be in the field, inspecting losses, examining evidence, conducting face-to-face interviews,...
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Report: ‘Excessive fraud’ persists among correctional workers
Widespread misconduct, fraud and abuse among New York state correctional workers “continues to plague the system,” according to a 2025 annual...
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Insurance customers are using AI images to make fake claims – these are the most shameless examples
Images generated by artificial intelligence are fuelling a new wave of insurance fraud, as customers use them to make false claims...
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House hearing highlights ‘systemic failure’ at heart of hospice, home health fraud
At a lengthy House Committee on Ways & Means hearing Tuesday, hospice and healthcare stakeholders testified about the harm caused by pervasive...
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Calif. court upholds dismissal of worker’s fraud suit under comp exclusivity rule
A California appellate court on Monday affirmed the dismissal of a lawsuit brought by an emergency medical technician who alleged a...
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FTC moves to shut down health insurance fraud scheme
A federal court has temporarily halted a Florida-based operation that the Federal Trade Commission alleges collected more than $91 million by...
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$1.7 million in recovered funds, 22 arrests, headline Workers’ Compensation Fraud in 2025
The New York State Inspector General’s annual Workers Compensation Fraud Report was released this week, with 22 arrests, and $1.9 million...
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The MEDICARE FRAUD investigation that could shake healthcare
The MEDICARE FRAUD investigation that could shake healthcare
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Appleton clinic to pay $380k settlement over Medicare fraud allegations
Apple Medical Clinic and Dr. Michael Johnson agreed to pay $382,362.95 to the U.S. government over allegations they violated the False...
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