Things are scary right now. There are so many unknowns and it might be months before life returns to any kind of normalcy. As the world deals with the COVID-19 pandemic, it’s imperative for every individual to remain vigilant in fighting the spread of the disease. Since it can be asymptomatic and remain on surfaces for days, this virus is extremely transmittable.

detect fraudUnfortunately, though COVID-19 has already taken the lives of thousands, caused millions to lose their jobs, and drastically changed everyday life; there are other, more hidden concerns that are impacting the less fortunate.

It’s estimated that the cost of waste in the U.S. healthcare system could be as much as $935 billion. Healthcare waste can come from many different things, but healthcare fraud is a serious factor — especially now.

According to the FBI, there are plenty of emerging healthcare fraud schemes related to the COVID-19 pandemic.

“Criminals are actively manipulating the COVID-19 pandemic to their advantage,” said Calvin A. Shivers, assistant director of the FBI’s Criminal Investigative Division. “We ask all Americans to remain vigilant to avoid falling victim to these schemes.”

In order to detect fraud, individuals and healthcare workers need to be on the lookout for suspicious activity. If you detect fraud, suspicious activity, or even have a bad feeling about a certain payment or account, talk to a professional right away.

Additionally, according to Health Payer Intelligence, this pandemic is leading to all kinds of difficult decisions when it comes to healthcare spending.

“As the coronavirus spreads rapidly across the United States, private health insurers and government health programs could potentially face higher health care costs,” said Kaiser Family Foundation experts. “However, the extent to which costs grow, and how the burden is distributed across payers, programs, individuals, and geography are still very much unknown.”

Here are two of the main COVID-19 healthcare fraud schemes to watch out for:

  • TESTING — Be on the lookout for people who contact you or a family member by phone, via email, or in-person telling you that the government is requiring you to take a COVID-19 test. Fraudulent scammers will ask for your health insurance information and plenty of additional personal information. Medicaid fraudsters will even ask for your Medicare or Medicaid number, as well.
  • TREATMENT — Similarly, there are criminals out there attempting to scam people into buying faux treatments. Currently, there is no legitimate cure to the COVID-19 virus — so be wary of anyone claiming otherwise.

Being able to successfully detect fraud is essential during these scary times. If you’re in need of professional help and want to learn more about how fraud and abuse management systems can help you avoid stressful situations pertaining to medical fraud, give WhiteHatAI a call today.

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