Highmark Inc.’s Post

Ever wondered how much risk you carry by being underinsured? 🤔💭 Our blog post, "The Expense of Being Underinsured Versus Having UM/UIM Coverage," unveils the stark realities and costs associated with insufficient insurance coverage. In an age where accidents are all too common, ensuring you have UM/UIM coverage is not just an option—it's a necessity for peace of mind and financial security. Don't be caught off guard. Educate yourself on the benefits today. 🚘🔍 https://lnkd.in/ewbtUkXS #UnderinsuredRisks #UMUIMBenefits #AdamsAndBrownInsurance

What are you doing to mitigate your risk associated with FWA? CERIS can help!

As the healthcare industry continues to evolve, so do the challenges of fraud, waste, and abuse. This Cotiviti on-demand webinar provides a comprehensive overview of investigative strategies and trends to empower you to safeguard against potential risks and losses in 2024. For example, we're covering the latest CPT code changes and how to craft effective investigative work plans tailored to your organization's needs. Subscribe to our YouTube channel for more. https://bit.ly/3TcgM0x #FWA #coding #HealthPlans

Watch our on-demand webinar and discover effective strategies to combat provider fraud, waste, and abuse (FWA) while promoting positive behavior change. Cotiviti's team of FWA experts delve into the intricacies of investigations, interventions, and behavior tracking across prepay and postpay FWA programs. You'll gain valuable insights and learn best practices for maximizing positive outcomes and preventing FWA in 2023: 🔹 Discover the importance of sequencing investigative activities in the right order, coupled with appropriate intervention mechanisms, to drive positive behavior changes among providers. 🔹 Explore real-life case studies highlighting Cotiviti's end-to-end FWA approach and the impressive results achieved by our FWA team. 🔹 Learn best practices for fostering sustainable behavior change and enhancing FWA prevention strategies in the evolving landscape of 2023. Subscribe to our YouTube channel for more #FWA webinars and insights. https://bit.ly/3nXR9nr #FWA #HealthPlans

#elderabuse https://lnkd.in/eJG3qJdN When the NY Courts, who had no jurisdiction over this woman from New Jersey, declared this woman "incapacitated" the "Guardian" covered up the financial fraud against her, putting her illegally on MEDICAID and Manhattan Supreme Court let the "Guardian" sell her house in New Jersey and the Guardian pocketed the profits. All rubber stamped by the Manhattan Supreme Court judge. What if My Income or Assets Are Higher than I Reported?  Medicaid applicants should never knowingly report income and / or assets as lower than they are. Doing so is a serious offense, and in fact, is illegal. In addition to potentially being convicted of a felony charge, there are several other possible consequences to lying on a Medicaid application. Persons can be punished with jail time, receive a significant fine, be required to repay Medicaid for the medical / long-term care expenses for which it paid, lose their Medicaid benefits, and never be able to qualify for Medicaid again. #illegalcourts #lying #medicaidapplication

FMPA Well-being: Looking after you family: You’ve worked hard to build and grow your wealth; it’s only natural to put in place measures to protect it. #lifeinsurance #criticalillnesscover #incomeprotectioninsurance #medicalinsurance ➡️ https://lnkd.in/eZUxN8mX

For those interested in developments involving the False Claims Act, check out the article I published with my colleagues Brian Tully McLaughlin and Olivia Lynch discussing how investigations involving pandemic relief fraud are likely to continue for years to come.

FMPA Well-being: Looking after you family: You’ve worked hard to build and grow your wealth; it’s only natural to put in place measures to protect it. #lifeinsurance #criticalillnesscover #incomeprotectioninsurance #medicalinsurance ➡️ https://lnkd.in/e7iyW4Rk

Another gem of a brief in appliedpolicebriefings.com. This one was written by Bruno Verschuere and his colleagues and is titled, Discriminating Deceptive From Truthful Statements Using the Verifiability Approach. Anyone interested in lie detection should check it out. Some key takeaways: (1) When considering suspect statements, truthful statements contain more verifiable details compared to deceptive statements, supporting a core prediction of the Verifiability Approach (VA) to lie detection. (2) However, this difference of verifiable details between truthful and deceptive statements is not always found. For example, the difference emerges for alibi statements, but not for other types of statements, such as statements related to insurance claims. (3) While the VA appears to be a useful tool for detecting lying in laboratory-based studies, the effectiveness of the VA in real-world policing contexts remains unknown. Download it for free here: https://lnkd.in/eXxBfNNr

Our new course series, "Fraud, Waste, and Abuse," covers fraud, waste, and abuse (FWA) and ways to prevent and report FWA. This series is complete with two courses, including "Combating Medicare Parts C and D Fraud, Waste, and Abuse" and "Federal Fraud and Abuse Laws." You can now add this series to your organization's subscription or purchase the courses as an individual learner. https://loom.ly/Nq9FKM0 #FraudWasteAbuse #FWA