Navigation Links
Medical Mutual of Ohio Issues Fraud Report
Date:3/5/2008

Nearly $5 million in fraudulent activity uncovered for year 2007

CLEVELAND, March 5 /PRNewswire/ -- Armed with some nifty software and a small, but ambitious staff, John Shoemaker, manager of Medical Mutual of Ohio's Financial Investigation Unit uncovered $4.9 million in fraudulent activity for the year ending 2007, according to figures just released by the Cleveland-based health insurer.

On average, Shoemaker and his staff investigate 120 cases of potential fraud per year and have produced more than 700 indictments in 20 years. Over the past five years, Medical Mutual has reclaimed more than $20 million from fraudulent activity.

The costliest of all crimes, the National Health Care Anti-Fraud Association (NHCAA) estimates more than $100 million is lost every day to health insurance fraud. Shoemaker and the NHCAA said everyone pays for health insurance fraud and there are ways consumers can help prevent it:

Protect your health insurance card like your credit card. In the wrong hands, a health insurance card is a license to steal. Don't give policy numbers or other identifying information to door-to-door salesmen or telephone solicitors.

Read your policy and benefits statements. Read your policy, Explanation of Benefits (EOB) statements and any paperwork you receive from your insurance company. Make sure you actually received the treatments for which your insurance was charged, and question suspicious expenses.

Beware of "free" offers. Offers of "free" services are often fraud schemes designed to bill you and your insurance company illegally for thousands of dollars of treatments you never received. If it sounds "too good to be true," it usually is.

Report fraud quickly. Don't put it off. Call your insurance company immediately if you suspect you may be a victim of health insurance fraud.

According to the NHCAA, health insurance fraud is responsible for upwards of five percent of the total cost of all health care in the United States annually. "Our mission is to simply try to help hold the line against higher health care costs," said Shoemaker.

Shoemaker said the fraud-sniffing software plays a huge part in nabbing health insurance fraud artists by flagging irregularities in insurance claim filings. "This software helps us focus efforts on cases most likely to have fraud," said Shoemaker. "This year, the company has almost five million reasons to believe our staff and software are working quite well together."

Founded in 1934, Medical Mutual of Ohio is the oldest and largest health insurance company based in Ohio. The company serves its customers through high-quality, affordable group and personal health insurance plans, and third- party administrative services to self-insured group customers. Based in Cleveland, Medical Mutual also has offices in Columbus, Cincinnati, Toledo, Akron, Dayton and Youngstown. For more information, visit the company's award- winning Web site at MedMutual.com.


'/>"/>
SOURCE Medical Mutual of Ohio
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. Dental Network of America Inc. Launches Integrated Medical-Dental Health Program
2. Template-Free Electronic Medical Record Wins AAFP User Satisfaction Survey.
3. Medical Products Distributor Gains New Flexibility With Its Selection of Microsoft Dynamics AX and Microsoft Dynamics CRM
4. Non-Medical Use of Prescriptions Linked to Drug Abuse Risk
5. Putting an End to Medical Cruelty: A Horrifying Article in Yahoo this Week by T. L. Kittle
6. China Sky One Medical, Inc. Appoints Four Independent Board Members
7. SGV Medical Supplies: Colostomy Supplies Easier to Obtain for the Colon Cancer Survivor
8. Aircraft Medical to Sponsor Worlds Premier Anaesthesiology Conference
9. Tsongas Visits Lawrence-based Medical Device Maker NxStage Medical, Inc.
10. VIDEO from Medialink and Philips: Philips Electronics Unveils First Imagination Light Canvas at the New Mercy Medical Center in Rogers AR
11. Farm Bill Provision Will Disrupt Kentucky Medical Program
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/27/2016)... York, NY (PRWEB) , ... May 27, 2016 , ... ... campaign returns for a third time to shed lights on the variety of topics ... and inspirational stories, “Nurse Appreciation” tackles why this career has gone from being in ...
(Date:5/27/2016)... ... May 27, 2016 , ... Beleza Medspa has initiated ... regulations. This is the first time that Coolsculpting is being used for for ... six months to ensure they meet the prescribed body-fat standard, measured by the circumference-based ...
(Date:5/26/2016)... ... ... last week’s media reports hinting at a June rate hike after the Federal Reserve’s ... interest rate increase, according to Rajeev Dhawan of the Economic Forecasting Center at Georgia ... (FOMC) dot charts are of interest to the press for their noise potential,” Dhawan ...
(Date:5/26/2016)... ... May 26, 2016 , ... Georgia State University College of ... programs. , Answering to the increasing demand for curricular specializations, the Certificate in ... environmental and land use law. ,  , “The demand for lawyers with specific ...
(Date:5/26/2016)... ... May 26, 2016 , ... There are nearly 14.5 million people living with ... worldwide. On Sunday, June 5, 2016, communities around the world will gather to recognize ... , National Cancer Survivors Day® is an annual worldwide Celebration of Life that is ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... Amarantus BioScience Holdings, Inc. (OTCQX: AMBS), ... and Orphan Diseases, today announced that President & CEO Gerald ... SeeThru Equity MicroCap Conference   Where: ... , NY When: Tuesday, May 31 st , ... Where: Grand Hyatt Hotel, 109 East 42 nd St, ...
(Date:5/26/2016)... , May 26, 2016 ... market growth is the emergence of new treatments. Cardax, ... therapies for osteoarthritis treatment. The therapy is expected to ... Arthritis Research UK is conducting studies to develop new ... study, where the genes involved in osteoarthritis are being ...
(Date:5/26/2016)... , May 26, 2016 Since ... matured into an essential life science tool for conducting ... applications. BCC Research reveals in its new report that ... growth phase, one powered by a range of new ...      (Logo: http://photos.prnewswire.com/prnh/20140723/694805 ) , ...
Breaking Medicine Technology: