Time to play fair

FRAUD

Professional Adviser
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Insurers are turning to technology to combat healthcare fraud in response to a rising number of deceptions in recent years, explains Dr Simon Peck

A few years ago, the concept of fraud in UK healthcare was almost unheard of. Statements by doctors or healthcare providers were taken on trust. But that changed with the introduction of Financial Services Authority (FSA) regulation which requires all insurers to have in place systems to investigate and tackle fraud. Similarly, the NHS has set up the NHS Counter Fraud and Security Management Service (CFSMS), which has confirmed that, just as in other areas, there is fraud in the healthcare sector. Fraud benefits no one except the fraudster as it takes money that should have been spent ...

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