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Article: The new health insurance act: a powerful weapon for fighting fraud and abuse. (Health Insurance Portability and Accountability Act of 1996)
- Article from:
- Healthcare Financial Management
- Article date:
- November 1, 1996
- Author:
CopyrightCOPYRIGHT 1996 Healthcare Financial Management Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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"Criminals and con artists have obviously heard how easy it is to be enrolled as a provider, how little verification of applications and claims is conducted, and how fast claims can be electronically processed."
- From a Federal grand jury report on organized crime and Medicare fraud
The news that Federal racketeering charges had been brought against one managed care organization came at the same time Congress was putting the finishing touches on the Health Insurance Portability and Accountability Act of 1996. This latest evidence of the Willie Sutton rule - that crime gravitates to where the money is - gives added importance to the provisions in that act ...