S5, E2: Vans, Scams, and Suspicious Miles

About this episode

The episode explores healthcare fraud in non-emergency transport, highlighting various schemes and red flags.

Non-emergency transport might sound routine, but it's become a hotspot for fraud. In this episode of The F Files, hosts Daphne and Mandi dig into schemes involving falsified mileage, upcoded services, and even transport crews lacking certification. From bizarre van rides to six-figure fraud cases, they reveal how something as simple as a ride to dialysis can turn into a $6 million scam. Whether you're in SIU, compliance, or analytics, get ready to uncover red flags and sharpen your detection game.

People in this episode

Hosts: Daphne, Mandi

Topics covered

• healthcare fraud
• non-emergency transport
• falsified mileage
• upcoded services
• fraud detection

Keywords

• fraud
• transport
• healthcare
• scams
• mileage
• dialysis
• detection

Mentioned in this episode

Organizations: Healthcare Fraud Shield

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• Season 4, Episode 4: Listen to Kelli Hess, Healthcare Fraud Shield's Senior Investigator · June 6, 2023 · 27 min