Healthcare Fraud and the LNC with Richard Bays RN Esq and Pat Iyer

LNC.tips/Septem...
This podcast interview goes into depth on a subject that deserves much more attention than it gets: medical fraud. This kind of fraud may cost the U.S. government as much as $300 billion per year, income that could help to keep Medicare/Medicare and a financially tottering medical system afloat.
Richard Bays, as an LNC and lawyer, is uniquely positioned to discuss this issue. He describes medical as double billing, billing for non-services, overbilling, and billing for a more complicated procedure than the patient received. Many subcategories exist within the fraudulent billing process, including forged prescriptions.
Forty percent of medical fraud is committed by licensed health professional. Some is also committed by those with forged licenses. You’ll hear about many variants in the fraud scheme.
You will be fascinated by Richard’s description of how fraud becomes rationalized and how it multiplies exponentially the more people are involved. He provides a detailed analysis of the way criminal minds think.
Richard emphasizes that malpractice suits may often contain elements of fraud. This provides as huge opportunity for LNCs. They can catch the discrepancies in billing that may point to fraud. They can detect diagnosis discrepancies. In countless ways, they can provide the attorney with information that can greatly strengthen a case.
This means providing an invaluable service not only for attorneys and their clients but as a way to interrupt the cycle of fraud.
• What does billing fraud mean within the healthcare system?
• What are four major areas of medical billing fraud?
• How much medical fraud is generated by licensed medical professionals?
• How does whistleblowing work as a means of reporting medical fraud?
• How can LNCs assist attorneys in detecting fraud?
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About Pat Iyer: Pat is an experienced LNC who will make you approach your LNC business in a whole new way. She is the author/editor of 67 books, including her newest books, "Creating Irresistible Opt In Offers", and "LNC Subcontracting". She is a member of the National Speakers Association and the American Association of Legal Nurse Consultants.
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[@Savoiefair64]

Who do we go to if we know fraud is being committed? Most are afraid of repercussions for reporting. 14:40

[@ChanaLuria]

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