Fraud Links

National Insurance Crime Bureau (NICB)

Fraud Links
The National Insurance Crime Bureau is a not-for-profit organization that receives support from approximately 1,000 property/casualty insurance companies. The NICB partners with insurers and law enforcement agencies to facilitate the identification, detection and prosecution of insurance criminals.

HHS-OIG Provider Exclusion Database

Fraud Links
Use this database of providers who are currently excluded from Medicare participation to identify providers in your network who are excluded from Medicare.

HHS-OIG- Medicare and Medicaid Audit Reports

Fraud Links
The website for Office of Audit Services for the Centers for Medicare and Medicaid Services (CMS) lists audits performed this year, with links to complete reports for each audit. This is a very good source for information on Medicaid and Medicare fraud.

HHS-OIG Fraud Prevention & Detection: Enforcement Actions

Fraud Links
This site has lots of examples of fraud convictions and settlements. They are mostly Medicare cases.

BNA Health Care Fraud Report

Fraud Links
A complete yet concise synthesis of one of today’s fastest growing legal specialties, the Report monitors a broad range of health care fraud and abuse issues in the private insurance industry, managed care organizations, and federal and state programs.

FBI: Health Care Fraud Unit

Fraud Links
One of the primary missions of the Health Care Fraud Unit, established in 1992 as a separate unit within the Financial Crimes Section of the Criminal Investigative Division, is to insure the success of investigations which have a national impact on the health care fraud crime problem.

IIR Medicaid Managed Care Congress

Fraud Links
This is a great conference. Robin will be giving half-day workshop on fraud control. Visit this site to sign up.

New Jersey Office of the Insurance Fraud Prosecutor

Fraud Links
OIFP serves as the focal point for all criminal, civil and administrative prosecutions of Medicaid and insurance fraud. The Office also coordinates all insurance-related anti-fraud activities of State and local departments and agencies.

AARP - Medicare Fraud

Fraud Links
The Medicare program has lost billions due to fraud and abuse. Know what you can do to help stop these losses.

HHS Office of Inspector General

Fraud Links
Health and Human Services Office of Inspector General Fraud Prevention & Detection
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