606 Fraud Tips and Tricks and the LNC – Richard Bays
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This podcast interview, Fraud Tips and Tricks and the LNC, goes into depth on a subject that deserves much more attention than it gets: medical fraud. This kind of fraud may cost the U.S. government as much as $300 billion per year, income that could help to keep Medicare/Medicare and a financially tottering medical system afloat.
Richard Bays, as an LNC and lawyer, is uniquely positioned to discuss this issue. He describes medical as double billing, billing for non-services, overbilling, and billing for a more complicated procedure than the patient received. Many subcategories exist within the fraudulent billing process, including forged prescriptions.
Forty percent of medical fraud is committed by licensed health professional. Some is also committed by those with forged licenses. You’ll hear about many variants in the fraud scheme.
You will be fascinated by Richard’s description of how fraud becomes rationalized and how it multiplies exponentially the more people are involved. He provides a detailed analysis of the way criminal minds think.
Richard emphasizes that malpractice suits may often contain elements of fraud. This provides as huge opportunity for LNCs. They can catch the discrepancies in billing that may point to fraud. They can detect diagnosis discrepancies. In countless ways, they can provide the attorney with information that can greatly strengthen a case.
This means providing an invaluable service not only for attorneys and their clients but as a way to interrupt the cycle of fraud.
Here’s What to Expect from the Podcast: Fraud Tips and Tricks and the LNC
- What does billing fraud mean within the healthcare system?
- What are four major areas of medical billing fraud?
- How much medical fraud is generated by licensed medical professionals?
- How does whistleblowing work as a means of reporting medical fraud?
- How can LNCs assist attorneys in detecting fraud?
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Your Presenter of Fraud Tips and Tricks and the LNC – Richard Bays
Mr. Bays has served in numerous capacities in the healthcare industry ranging from clinical services and operations to being an administrator of surgery centers and hospitals. He works nationwide with legal teams on complex medical cases and also served as a Legislative Advisory Committee member for healthcare House and Senate bills. He is a frequent speaker at numerous conferences and has published articles on healthcare regulatory issues nationwide.
Connect with Richard Bays by visiting http://firmengroup.com