How insurance companies identify Medicare fraud

According to the National Health Care Anti-Fraud Association, Medicare fraud poses a significant threat to the healthcare system, with scams costing tens of billions of dollars annually. When individuals or organizations make false claims or misuse the program, it drains valuable resources. Several strategies and tools help insurance companies identify and combat Medicare fraud. Billing […]

Medical experts and their testimony

Many high-value personal injury lawsuits center around complex disputes. Arguments range considerably and, therefore, so does the relative importance of medical witness testimony. That said, one common issue is that the parties disagree about the value of the injured party’s loss. In these situations, expert testimony could turn out to be one of the critical […]

Can you stop insurance fraud padding?

When individuals try to defraud insurance companies when making claims, the impacts are prominent. There are different types of fraud schemes when it comes to this. One such scheme? Insurance fraud padding. This involves individuals submitting claims for personal injury cases and trying to gain more compensation than the value of the claim. The impact […]

Why do people file fraudulent insurance claims?

Fraudulent insurance claims can impact how much consumers pay for the coverage they need. If you have dealt with fraudulent claims, you would know that they cost valuable time and resources. As an insurance provider, you have the right to dispute suspicious claims. When you know some of the reasons why people file these types […]

The types of insurance fraud insurance companies might face

Car insurance fraud is a growing problem that impacts the bottom line of every insurance company. It results in higher premiums for policyholders and drains resources from insurance companies. Understanding the types of car insurance fraud can help insurance companies take effective action to prevent it. Fraud is not always easy to detect, but insurance […]

How insurance companies deal with bad faith estimates

Insurance companies play a pivotal role in protecting the assets and financial stability of individuals and businesses alike. However, they sometimes face threats of bad faith estimates, which can undermine their credibility and profitability. Understanding these risks and deploying effective strategies to counter them remains critical for the insurance industry. Bad faith estimates come from […]

The benefits of mediation and arbitration for insurance companies

Personal injury claims can be a complicated and expensive process for insurance companies. Often, the legal fees and court costs associated with these claims can add up quickly, and lengthy trials can be a drain on both time and resources. However, alternatives such as mediation and arbitration can provide a more efficient and cost-effective way […]

Dental malpractice in New York: The value of patient records

Dental malpractice in New York State can include many different factors, including accusations of unnecessary or inferior treatment practices. However, dentists accused of such actions can bolster a defense case with detailed records of the patient in question. According to MLMIC Insurance Company, New York State law requires dentists to keep patient records for six […]

What is staged car accident fraud?

Car accidents are sometimes unavoidable, which highlights why all motorists must carry sufficient insurance coverage. However, criminals can sometimes orchestrate accidents in an attempt to defraud insurance companies. These staged car accidents can take on many forms and are sometimes quite sophisticated. Here are a few common types of staged accidents and they work. Panic […]