The Coalition Against Insurance Fraud, the National Health Care Anti-Fraud Association, and the National Insurance Crime Bureau are partnering together to form the Consortium to Combat Medical Fraud. Participants include these three organizations, their member insurance companies, state insurance fraud bureaus, and representatives from the Federal Bureau of Investigation.
The consortium states that its objective is to move towards creating a national agenda to combat medical fraud for public and private benefit by unleashing their members' collective resources. Specific actions include sharing information across industry and among stakeholders; leveraging industry best practices; influencing the public policy debate and shaping the future agenda; and optimizing and aligning objectives of various associations.
Fraud committed by medical providers in the U.S. continues to total tens of billions of dollars each year. Perpetrators consist of organized criminal enterprises that stage auto accidents, surgical centers that perform unneeded operations, and family physicians who occasionally bill for treatment not provided. Fraud is a continuing problem in virtually all segments of medicine, including diagnostic centers, durable medical equipment supplies, pharmacies, and medical transport companies.
There has been little coordination among the various segments to share intelligence, strategies, and training involving fraud by medical providers. The goal of the Consortium to Combat Medical Fraud is to close these gaps.
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