Healthcare

Healthcare

IDcheck’s Healthcare Solution can reduce fraud risk from the first 5 types of fraud. Please Contact us to discuss further.

Healthcare Fraud is estimated to comprise as much as 3% of total spending. It takes multiple forms including:

1. Medical Identity Theft: Aside from illicit billing this may add widely inaccurate medical information to a patient’s record, leading to inappropriate medications and procedures and may even make the person uninsurable and cause significant emotional harm


2. Using Fake IDs: Obtaining healthcare coverage under false pretences, whether due to lack of coverage or non-resident status


3. Fake Billing: Billing for services never rendered


4. Prescription Fraud: Charging for prescriptions not procured or procured for a different person


5. Care Home Fraud: Billing for nursing care home for non-existent residents


6. Up-Coding: Billing for more expensive treatment than delivered and over-charging Governments and Insurers


7. Performing medically unnecessary procedures: Falsifying a diagnosis to justify tests and increase billing


8. Misrepresenting Treatments: Stating medically unnecessary treatments are required to obtain insurance coverage fraudulently, e.g. cosmetic procedures