SMP National Resource Center

November 20, 2017

Based on public data from the Office of Inspector General and General Accounting Office, the most common health care provider fraud activities are:

  • Fraudulent billing, duplicate billing, and billing for services not medically needed: 46 percent
  • Falsified claims schemes, which usually involve the use of fake medical personas and identify theft: 25.5 percent
  • Kickbacks: 20 percent
  • Prescribing unnecessary medications: 10.8 percent
  • Upcoding: 2 percent

To read this story from HealthPayerIntelligence, click here.



SMP National Resource Center