LYCOS RETRIEVER
Fraud
built 202 days ago
Fraud is a serious problem that affects every healthcare system. Each health plan loses from 3% to 30% to fraud, waste and abuse. Reducing fraud losses is one of the few ways that a health plan can cut costs without hurting their members or providers. Investment in fraud control typically saves $6 to $12 for every dollar spent, yet health systems have not invested in the level of controls that will effectively stop fraud. To dramatically decrease the expenses caused by the fraud that can be found in every healthcare system, invest in these ten high-priority activities:
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Fraud alerts are not a cure-all.... A fraud alert can be, and sometimes is ignored by creditors. If you suspect you're a victim of identity theft, or have already become a victim, fraud alerts are only a start in trying to protect your credit. You also need to pay close attention to your credit report to make sure no new credit inquiries or credit accounts are being opened.
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Fraud, in addition to being a criminal act, is ... a type of civil law violation known as a tort. A tort is a civil wrong for which the law provides a remedy. A civil fraud typically involves the act of intentionally making a false representation of a material fact, with the intent to deceive, which is reasonably relied upon by another person to that person's detriment. A "false representation" can take many forms, such as:
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NEW YORK, Nov. 23 /PRNewswire/ -- Fraud rates will triple this holiday season to nearly $50 billion with online merchants covering nearly 100% of the cost. "While consumers have banks looking out for them, who's looking out for legitimate online retailers?" asks Howard Schecter, Regional Sales Manager for preCharge Risk Management Solutions.
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Fraud is ... divided into that which has induced the contract and incidental or accidental fraud. The former is that which has been the cause or determining motive of the contract, that without which the party defrauded would not have contracted, when the artifices practised by one of the parties have been such that it is evident that without them the other would not have contracted. Incidental or accidental fraud is that by which a person, otherwise determined to contract, is deceived on some accessories or incidents of the contract; for example, as to the quality of the object of the contract or its price so that he has made a bad bargain. Accidental fraud does not, according to the civilians, avoid the contract but simply subjects the party to damages. It is otherwise where the fraud has been the determining cause of the contract; in that case the contract is void.
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Health Care Fraud is not a victimless crime. It increases healthcare costs for everyone. It is as dangerous as identity theft. Fraud has left many thousands of people injured. Participation in healthcare fraud is a crime.
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