Benefits fraud is often discussed in abstract terms. A compliance issue, an actuarial risk, a predictable cost. The human cost is harder to see, …
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Benefits Fraud
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BenefitsOur Favourites
The anatomy of benefits fraud: Common schemes and how they’re stopped
by Todd Humberby Todd HumberA dentist bills for time in the chair rather than time spent on treatment. A medical facility where claims are submitted under a licensed therapist’s credentials, when services were provided by unlicensed providers. …
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BenefitsOur Favourites
Building a fraud-resistant workplace: What employers need to know
by Todd Humberby Todd HumberBenefits fraud doesn’t start with a sophisticated scheme. Often, it starts with an employee who doesn’t fully understand that what they’re doing is wrong — or doesn’t think anyone is …
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BenefitsOur Favourites
The hidden cost of benefits fraud: How AI and data science are fighting back
by Todd Humberby Todd HumberWhen a dental clinic began quietly changing procedure codes on previously rejected claims, altering dates of service and billing for treatments patients …
