How Technology is Helping Combat Healthcare Fraud

HIT Consultant June 6, 2024
Syed Hamza Sohail

Healthcare fraud is a significant issue in the U.S. and one that continues to grow in scale as fraudulent actors seek to exploit the healthcare system for their own financial gain. According to the U.S. Department of Justice (D.O.J.), the cost of healthcare fraud in the country is close to $100 billion a year.

This figure encompasses a wide range of deceptive practices by healthcare providers, patients, and third parties which include billing for services not rendered, falsifying documents, offering or receiving kickbacks, and submitting false billing codes to secure higher reimbursements from government or private healthcare programs.

Recent advances in technology are now enabling government agencies to be more effective in their efforts to detect and prevent healthcare fraud....

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