While the federal government is making bolder moves to strengthen its stance against healthcare fraud through increased funding and predictive modeling software, leaders across the country are taking on the task of reducing the amount of fraud occurring in their own states.
Eric Schneiderman, who was recently elected New York's Attorney General, has publicly expressed his goal of increasing criminal prosecutions of Medicaid fraud, according to a Crain's New York Business news report. Specifically, he said he hopes to expand the use of video surveillance in nursing facilities and expand the office's healthcare bureau to increase monitoring of insurance companies' implementation of healthcare reform.
The state of Kentucky has contracted with Minnesota-based Ingenix to better detect fraudulent billing practices and recover money lost to waste and abuse, according to a Courier-Journal news report. Ingenix will conduct audits, reviews of payments and other methods of identifying and recovering lost funds. Through the partnership, the state hopes to recover up to $27 million annually.
Vermont's Attorney General's office is currently working with other state agencies to improve detection and prevention of healthcare fraud, according to a WCAX report. Among some of the initiatives, the AG office helped organize the Health Care Fraud 101 training session for state employees. An assistant AG said the aim of the training session is to "educate state employees who are involved in healthcare law enforcement about what fraud is and how we prosecute and prevent it in the state," according to the report.
Read more coverage about fraud prevention:
- Federal Group Releases White Paper on Guidelines to Combat Post-Reform Fraud
- Bipartisan Anti-Fraud Legislation Passes in House
- OIG Requests Additional $40M to Support Healthcare Fraud Detection Efforts
Eric Schneiderman, who was recently elected New York's Attorney General, has publicly expressed his goal of increasing criminal prosecutions of Medicaid fraud, according to a Crain's New York Business news report. Specifically, he said he hopes to expand the use of video surveillance in nursing facilities and expand the office's healthcare bureau to increase monitoring of insurance companies' implementation of healthcare reform.
The state of Kentucky has contracted with Minnesota-based Ingenix to better detect fraudulent billing practices and recover money lost to waste and abuse, according to a Courier-Journal news report. Ingenix will conduct audits, reviews of payments and other methods of identifying and recovering lost funds. Through the partnership, the state hopes to recover up to $27 million annually.
Vermont's Attorney General's office is currently working with other state agencies to improve detection and prevention of healthcare fraud, according to a WCAX report. Among some of the initiatives, the AG office helped organize the Health Care Fraud 101 training session for state employees. An assistant AG said the aim of the training session is to "educate state employees who are involved in healthcare law enforcement about what fraud is and how we prosecute and prevent it in the state," according to the report.
Read more coverage about fraud prevention:
- Federal Group Releases White Paper on Guidelines to Combat Post-Reform Fraud
- Bipartisan Anti-Fraud Legislation Passes in House
- OIG Requests Additional $40M to Support Healthcare Fraud Detection Efforts