It is time that we in India start talking of fraud in healthcare, more openly and stop pushing it under the carpet. What we don’t realize is FRAUD is single most significant factor in Health Insurance not getting its deserved place in a consumer’s mind. Across the globe, no one is spared! With a wave of exposing scams on, let us start exposing fraudulent billing by hospitals.

Team@CMHF

In February, Innovative Resources Group — doing business as APS Healthcare Midwest of White Plains, N.Y. — agreed to pay $13 million to the federal government and the state of Georgia to settle allegations that it submitted false claims to Medicaid for specialty services not provided. The government alleged that APS submitted false claims to Medicaid through the Georgia Department of Community Health because it allegedly did not provide specialty services related to disease management and case management to members of the Georgia Medicaid Management Program from Sept. 2007-Feb. 2010.

Read More: http://www.beckershospitalreview.com/hospital-financial-and-business-news/10-recent-stark-false-claims-and-kickback-lawsuits-involving-hospitals-and-health-systems.html