Health insurers are teaming up in a concerted effort to tackle healthcare fraud following research suggesting 5% of all cash paid out by private health insurers is lost to deception.
The Health Insurance Counter Fraud Group (HICFG) will represent the major eleven players in the UK private medical insurance market. HICFG says it is set to launch a system enabling participants to share intelligence on doctors and hospitals as well as fraudulent customers, insurance brokers and employees. It says healthcare fraud includes providers billing for services that were not carried out, upcoding (charging for more complex services than were actually delivered), unbundling (charging for the same service several times and hiding it behind medical jargon) and misrepresentation of f...
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