Health Plans Look for Fraud Before They Pay Claims

July 16, 2012 – In The News
American Medical News
Elizabeth Hampton, a member of the firm’s Health Law practice, recently spoke to American Medical News about new fraud detection systems.

Hampton told American Medical News, “With real-time fraud detection that is under way, it really creates a heightened level of scrutiny.”

She believes that physicians sometimes are not notified about a problematic claim and resulting delay in payment, and they have to call to ask why they haven’t been paid.

“My experience of it is that often [physicians] become aware of it after the fact,” Hampton said.

View entire article.