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Medical Provider Fraud
This has become the most sophisticated and costly form of Insurance Fraud. This is a voluminous ring of doctors, attorneys and other participants in the field including recruiters, known as "runners". THR provides a comprehensive investigative approach that can unravel this new fraud industry.
Know who you're dealing with.
THR can determine:
Corporate and other participants
Business owners
Medical License Status
The existence of illegal self referrals
Facility Inspections:
Is the provider's address?
A genuine medical facility
A private residence
A Private Mailbox
Is the Provider?
Using licensed equipment
Receiving a patient volume consistent with billing