Search results
Results from the WOW.Com Content Network
Health care fraud includes "snake oil" marketing, health insurance fraud, drug fraud, and medical fraud. Health insurance fraud occurs when a company or an individual defrauds an insurer or government health care program, such as Medicare (United States) or equivalent State programs. The manner in which this is done varies, and persons engaging ...
OI also coordinates with OAS and OEI when audits and evaluations uncover potential fraud. Office of Counsel to the Inspector General (OCIG). OCIG is an in-house, full-service law office, providing legal advice to OIG and compliance guidance to the healthcare industry.
Fraud detection is a knowledge-intensive activity. The main AI techniques used for fraud detection include: . Data mining to classify, cluster, and segment the data and automatically find associations and rules in the data that may signify interesting patterns, including those related to fraud.
Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
This is an accepted version of this page This is the latest accepted revision, reviewed on 9 December 2024. Economic sector focused on health An insurance form with pills The healthcare industry (also called the medical industry or health economy) is an aggregation and integration of sectors within the economic system that provides goods and services to treat patients with curative, preventive ...
The Occupational Safety and Health Administration (OSHA) requires that all employers maintain a record of occupational injuries, illnesses and fatalities. Occupational fatalities must be reported to OSHA within eight hours of the incident. Failure to do so can result in legal action against the employer including citations and fines. [12]
Pharmaceutical fraud is when pharmaceutical companies engage in illegal, fraudulent activities to the detriment of patients and/or insurers. Examples include counterfeit drugs that do not contain the active ingredient, false claims in packaging and marketing, suppression of negative information regarding the efficacy or safety of the drug, and violating pricing regulations.
The agriculture industry has begun to focus more on proper education and training, and has made a variety of resources available to producers. For example, organizations like the Upper Midwest Agriculture Safety and Health Center have a variety of informational fact sheets and training videos easily accessible online. Additionally ...