Fraud Links

Coalition Against Insurance Fraud

Fraud Links
Insurance crooks are picking your pockets. Insurance fraud is an $80-billion crime wave. It’s driving up everyone’s insurance prices. But concerned citizens, insurance companies and public officials are fighting back through the coalition

Texas Department of Insurance

Fraud Links
The Texas Department of Insurance has an annual fraud conference in January.

Coalition Against Insurance Fraud

Fraud Links

The coalition has become one of America’s most trusted and credible anti-fraud forces, thanks to our remarkable diversity. Together, our members are working to control everyone’s insurance costs, protect the public safety, and bring this crime wave to its knees.

Since its founding in 1993, the coalition has worked effectively to:

  • enact tough new anti-fraud laws and regulations
  • educate the public how to fight back, and
  • serve as a national clearinghouse of fraud information.

IRS - Examples of Healthcare Fraud Cases

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Criminal Investigation investigates healthcare fraud perpetrated against the federal and state governments, as well as private insurance companies. In these investigations, CI follows the money trail and considers both tax and money laundering perspectives. Criminal tax investigations are initiated when income generated from healthcare fraud is not correctly reported on tax returns, or when there is an overstatement of expenses on tax returns. Criminal Investigation investigates money laundering when either illegally obtained funds from healthcare fraud are used to purchase assets or when the perpetrators of the schemes devise elaborate methods to conceal their fraudulent proceeds.

Taxpayers Against Fraud

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Taxpayers Against Fraud is a nonprofit, public interest organization dedicated to combating fraud against the Federal Government through the promotion and use of the Federal False Claims Act and its qui tam provisions.

NASO: National Association of SURS Officials

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NASO was begun in 1985 by staff from the various states’ Medicaid agencies. The purpose of NASO is to assist states in providing the greatest control of fraud or abuse for the national Medicaid program. Strong program integrity helps assure that Medicaid funds are channeled appropriately to those who need the services.

From those early days, NASO has grown to an organization of state and federal officials from the 50 states whose primary task is to investigate instances of fraud & abuse in the Medicaid Medical Assistance Program. NASO’S membership currently consists of attorneys, nurses, co

Kaiser Family Foundation News

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Kaisernetwork.org provides quick access to timely, reliable, and non-partisan information on national health issues through daily news summaries, webcasts, transcripts, access to public opinion data, and much more.

Health Lawyers

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Leading health law to excellence through education, information, and dialogue, the American Health Lawyers Association (Health Lawyers) is the nation’s largest, nonpartisan, 501(c)(3) educational organization devoted to legal issues in the healthcare field. Health Lawyers provides resources to address the issues facing its active members who practice in law firms, government, in-house settings and academia and who represent the entire spectrum of the health industry: physicians, hospitals and health systems, health maintenance organizations, health insurers, managed care companies, nursing facilities, home care providers, and consumers.

Compliance News

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UC Davis Health System compliance program. This is a great list of news.

New York State Insurance Bureau

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The Insurance Department is responsible for supervising and regulating all insurance business in New York State.
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