Health Insurance Fraud | Health 2.0 Conference suggests ways to protect yourself from such fraud

Health Insuranc e Fraud Health 2.0 Conference suggests ways to protect yourself from such fraud

● What is health insurance fraud?

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● What are the common types of health insurance fraud? ● How does attending the conference suggest ways to protect from health insurance scams?

What is health insurance fraud? ● Health insurance fraud is defined as a situation in which an insured, or medical service provider provides the insurer with fraudulent, false, or misleading information with the intent of obtaining unfair policy benefits for the policyholder or service provider. ● As explained in various conferences such as Health 2.0 Conference, these scams cause significant losses for insurance companies, but they may also have an impact on genuine customers' health insurance benefits.

What are the common types of health insurance fraud?

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Healthcare events described some common types of health insurance fraud, scams, and spam: ● Filing a claim for services or treatments that never provided. It is frequently accomplished by forging genuine patient information and fabricating admission in collaboration with service providers. ● It was increasing the overall cost of hospitalization by including treatments that were not medically necessary. ● Misrepresenting non-covered treatments as medically necessary. ● Non-disclosure of pre-existing diseases and fabrication of diagnosis reports justifying tests, examinations, and surgeries to establish claim worthiness.

attending the conference suggest ways to protect from health insurance scams?

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Health insurers are constantly looking for new ways to combat the threat of fraud.

Attending conferences can help you learn about some of the methods insurers use to combat fraud: ● Strict regulations and standards apply to network hospitals, specifical treatments for pre-existing conditions. ● Creation of a centralized database of all fraudulent cases recorded to derive predictive trend lines for service provider and claimant. ● A specialized 'fraud prevention unit' conducts field investigations to confirm suspected cases. ● Better policy underwriting due diligence. ● Rating of hospital service providers

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