Advanced Search

Practice Management Alert

Payer Updates:

BCBS Recovered $350 Million in 2008 Anti-Fraud Efforts

Published on Fri Jul 24, 2009

Plus, Medicare strike force hands out justice in Motown. The Blue Cross and Blue Shield Association (BCBSA) National Anti-Fraud Department (NAFD) announced in June that its anti-fraud investigations recovered nearly $350 million in 2008. That number represents a 43 percent increase over 2007, according to a report by the NAFD. According to the NAFD, the recouped funds came from false claims, fabricated medical records, noncovered procedures, questionable anesthesia practices, and more. "These investigations and programs illustrate how Blue Cross and Blue Shield companies are actively combating fraud," said Byron Hollis, managing director of BCBSA's NAFD in a press release. "We are protecting consumers and saving healthcare dollars by developing preventive programs and working in partnership with consumers, law enforcement, and authorities to investigate potential fraud cases." If you're a BCBS member and you suspect fraud, you can report it to the NAFD by calling (877) 327-BLUE, or visiting the NAFD [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Practice Management Alert

View All