State and federal authorities have created a multi-jurisdictional working group to identify and deal with health care fraud in northern West Virginia.
U.S. Attorney William J. Ihlenfeld II and representatives of the FBI, the IRS and the state Medicaid Fraud Control Unit announced the group’s formation on Nov. 12. Assistant U.S. Attorney Sarah Montoro is the group’s leader.
Ihlenfeld says investigators are using advanced statistical analysis of medical providers’ health care reimbursement data to identify potentially fraudulent billing patterns, waste and abuse.
Ihlenfeld announced a settlement of claims involving a Fairmont physician the same day. Dr. Samer Kuzbari paid $440,232 to resolve allegations that he submitted false claims to Medicare, Medicaid and other health care benefit programs.
Was this article valuable?
Here are more articles you may enjoy.
How One Fla. Insurance Agent Allegedly Used Another’s License to Swipe Commissions 
A 10-Year Wait for Autonomous Vehicles to Impact Insurers, Says Fitch 
Florida Insurance Costs 14.5% Lower Than Without Reforms, Report Finds 
Insurance Issue Leaves Some Players Off World Baseball Classic Rosters 
