Filed Under:Your Practice, Regulatory

AHIP, Blues Join Anti-Fraud Effort

AHIP President Karen Ignagni (Image courtesy of C-SPAN)
AHIP President Karen Ignagni (Image courtesy of C-SPAN)

Private health plans are joining with public plans to try to root out fraudulent billing.

America's Health Insurance Plans (AHIP), Washington, and the Blue Cross and Blue Shield Association, Chicago, will be teaming with organizations such as the U.S. Justice Department, the Centers for Medicare & Medicaid Services (CMS) and the Federal Bureau of Investigation (FBI) in an anti-billing-fraud effort.

Coalition members also want to gain the ability to spot and stop payments billed to different insurers for care delivered to the same patient on the same day in two different cities.

Eventually, officials say, coalition members hope to develop and use better fraud detection analytical tools.

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Nichole Morford

Nichole Morford
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