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Risk Mgt, Claims & Ins

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  Claims Management

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    Insurance Fraud

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rmLibrary


- UpdatedClaims Management / Health Fraud : DHHS OIC compliance program, health care fraud, physician fraud, etc.
Department of Health and Human Services Office of Inspector General (OIG) provider compliance program guides. Database of Office of Audit Services (OAS) audit reports. Report on insurance fraud perpetrated by medical providers, primarily medical clinics. Fact sheets on health care fraud, physician fraud, patient lies, etc.


- UpdatedClaims Management / WC Fraud : Information on Workers Compensation fraud
Full text of a training manual on fighting workers compensation fraud. Statistics, guidelines to spot WC fraud, case studies of fraud, etc.


- UpdatedRegulations / Insurance : Full text of state insurance laws - access to insurance health departments
Links to the insurance departments for each state. Full text of the state insurance laws for those available on the internet.


- UpdatedSecurity / Employee Theft : Employee dishonesty insurance and risk management
Guidelines, audits on preventing employee theft and creating internal controls to reduce the risk of fraud. Resources outling the steps toward fraud detection and prevention. Description of fidelity insurance & discussion of bonds coverage issues.





The Business Library


- UpdatedBusiness Security / Employee Fraud : Employee theft and dishonesty insurance and risk management
Guidelines, audits on preventing employee theft and creating internal controls to reduce the risk of fraud. White collar crime and embezzlement prevention. Resources outling the steps toward fraud detection and prevention. Description of fidelity insurance & discussion of bonds coverage issues.


- UpdatedEmployee Health / Healthcare Fraud : Health care fraud, physician fraud, DHHS OIC compliance program
Fact sheets on health care fraud, physician fraud, patient lies, etc. Department of Health and Human Services Office of Inspector General (OIG) provider compliance program guides. Database of Office of Audit Services (OAS) audit reports. Report on insurance fraud perpetrated by medical providers, primarily medical clinics. DHHS OIC compliance program.


- UpdatedGovernment Laws / Insurance : US state insurance laws - access to insurance health departments
Links to the insurance departments for each US state. Full text of the state insurance laws for those available on the internet.


- UpdatedInsurance / Insurance Fraud : Insurance & claims fraud, lawyer fraud, red flags
Insurance fraud recognition. Information on fraudulent claims. Red flags. Property insurance fraud. Attorney fraud. Tips on how to make best use of video surveillance.





The Safety Library


- UpdatedHealth Care Safety / Health Care Fraud : DHHS OIC compliance program, health care fraud, physician fraud, etc.
Department of Health and Human Services Office of Inspector General (OIG) provider compliance program guides. Database of Office of Audit Services (OAS) audit reports. Report on insurance fraud perpetrated by medical providers, primarily medical clinics. Fact sheets on health care fraud, physician fraud, patient lies, etc.


- UpdatedInsurance Loss Control / Insurance Fraud : Insurance fraud, lawyer fraud, red flags, etc.
Information on fraudulent claims. Red flags. Property insurance fraud. Attorney fraud. Tips on how to make best use of video surveillance. Insurance fraud recognition.


- UpdatedSecurity / Employee Theft : Employee dishonesty insurance and risk management
Guidelines, audits on preventing employee theft and creating internal controls to reduce the risk of fraud. Resources outling the steps toward fraud detection and prevention. Description of fidelity insurance & discussion of bonds coverage issues.


- UpdatedUS Laws / Insurance Laws : Full text of state insurance laws - access to insurance health departments
Links to the insurance departments for each state. Full text of the state insurance laws for those available on the internet.


- UpdatedWorkers Compensation / WC Fraud : Information on Workers Compensation fraud
Full text of a training manual on fighting workers compensation fraud. Statistics, guidelines to spot WC fraud, case studies of fraud, etc.





The HR Library


- UpdatedWorkers Compensation / WC Fraud : Information on Workers Compensation fraud
Workers compensation fraud reference materials




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