The act of deceiving or misrepresenting of health care services.
Where Can Fraud Occur?
What is the Cost of Health Care Fraud?
The cost of health care fraud is estimated by the American Medical Association, National Health Care Anti-Fraud Association, Certified Fraud Examiners, and Department of Health and Human Services/Offices of Inspectors General to be between 3% and 14%. In 2000, BlueCross BlueShield of Tennessee paid $7.4 billion in health care benefits. This means BCBST could have potentially lost between $ 222,000,000 and $1,036,000,000.
3% = $222,000,000 (Two Hundred Twenty-Two Million)
14% = $1,036,000,000 (One Billion Thirty-Six Million)
What is Being Done about Health Care Fraud?