NOT FOR REPRINT
Page Printed from: propertycasualty360.com/author/profile/michael-a-sirignano
Sign In To follow
The scheme involved illegal control of medical practices, kickbacks for patient referrals and bribes.
While these scams often sound like the work of amateur fraudsters, a recent $31M scheme proves otherwise.
One of the most powerful tools insurance carriers have to fight fraud is to rescind a policy based on a material misrepresentation in the application.
Review a variety of cases from the Southern District of New York that highlight key features of these demonstrated (or alleged) insurance frauds.
Both health care providers and insurers should be aware of the potential for abuse of telemedicine services as well as the ramifications.