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LexisNexis Risk Solutions. LexisNexis Risk Solutions is a global data and analytics company that provides data and technology services, analytics, predictive insights, and fraud prevention for a wide range of industries. [ 2] It is headquartered in Alpharetta, Georgia (part of the Atlanta metropolitan area ), and has offices throughout the U.S ...
Pharmaceutical fraud is when pharmaceutical companies engage in illegal, fraudulent activities to the detriment of patients and/or insurers. Examples include counterfeit drugs that do not contain the active ingredient, false claims in packaging and marketing, suppression of negative information regarding the efficacy or safety of the drug, and ...
One example is a study by the National Library of Medicine, in which an organization received 858,200 emails during a 1-month testing period, with 139,400 (16%) being marketing and 18,871 (2%) being identified as potential threats. These campaigns are often used in the healthcare industry, as healthcare data is a valuable target for hackers.
Under federal law, health care fraud in the United States is defined, and made illegal, primarily by the health care fraud statute in 18 U.S.C. § 1347 states [ 4] (a) Whoever knowingly executes, or attempts to execute, a scheme or artifice—. (1) to defraud a financial institution; or. (2) to obtain, by means of false or fraudulent pretenses ...
No. 21-1052, 599 U.S. ___ (2023) The False Claims Act of 1863 ( FCA) [ 1] is an American federal law that imposes liability on persons and companies (typically federal contractors) who defraud governmental programs. It is the federal government's primary litigation tool in combating fraud against the government. [ 2]
The National Health Care Anti-Fraud Association estimates that 3% of the health care industry's expenditures in the United States are due to fraudulent activities, amounting to a cost of about $51 billion. [9] Other estimates attribute as much as 10% of the total healthcare spending in the United States to fraud—about $115 billion annually. [10]
Certified Fraud Examiner. The Certified Fraud Examiner (CFE) is a credential awarded by the Association of Certified Fraud Examiners (ACFE) since 1989. [ 1] The ACFE association is a provider of anti-fraud training and education. Founded in 1988 by Dr. Joseph T Wells.
August 7, 2024 at 5:00 AM. Kentucky’s largest addiction recovery group is being investigated by the FBI for alleged health care fraud, federal officials say. Since 2008, Addiction Recovery Care ...