Anti-Fraud Organizations and Activities
Posted By Administrator
Insurance companies have identified fraudulent practices and united themselves to develop systems that will detect suspicious billing patterns. The National Health Care Anti-Fraud Association was formed for this purpose. A public advocacy and educational organization – Coalition Against Insurance Fraud - was formed in 1993 to increase public awareness and track these deceptive companies.
The Health Insurance Portability and Accountability Act of 1996 gave the U.S. Inspector General the jurisdiction overall insurance plans. It organized Operation Restor Trust which targeted fraud, waste and abuse in Medicare and Medicard, particularly fraudulent activities in home health agencies, nursing homes and durable medical equipment suppliers.