activities focus on three principal areas: (i) investigating and prosecuting provider fraud; (ii) investigating and prosecuting patient abuse in facilities funded by Medicaid; and (iii) investigating and prosecuting fraud within Medicaid's administration.
also houses a Patient Abuse, Neglect and Exploitation Unit that investigates cases where elderly, ill and disabled residents are abused in nursing homes, facilities for the mentally and physically disabled and assisted care living facilities.
was transferred from the Department of Public Safety into the state attorney general's office by the Utah Legislature because of our own investigation of the MFCU
personnel, using the state Freedom of Information Act.
is a unit within the Florida Office of Attorney General (OAG), which has been granted statutory authority to issue investigative subpoenas and review provider records for evidence relating to Medicaid fraud and/or patient abuse-related offenses.
After an extensive selection process, MFCU
chose to partner with Engage Technologies, a Florida-based contractor that specializes in access control and security systems integration.
are charged with investigating and prosecuting resident neglect.
In 1983, he joined the Board of Directors, and in 1991 he became the Treasurer for the Board at MFCU
For example, the Illinois Medical Fraud Control Unit (MFCU
) found that incentive payments to physicians were common in HMOs, with practitioners receiving a portion of the funds that had not been used for hospital stays or for surgery (National Association of MFCU
Provision: States are required to demonstrate that: (1) they operate an effective MFCU
according to standards established by the Secretary; or (2) an MFCU
would not be cost-effective because minimal fraud exists and beneficiaries would be protected from fraud and abuse without a MFCU
As part of its efforts to coordinate the fight against fraud across the nation's health care systems, including Medicaid and Medicare, data mining will allow Florida's MFCU
to sort electronic claims through the use of statistical models and intelligent technologies to uncover patterns and relationships.
activities focus on three principle areas: (i) investigating and prosecuting provider fraud; (ii) investigating and prosecuting patient abuse in facilities funded by Medicaid; and (iii) investigating and prosecuting fraud within Medicaid's administration.
The solution can be implemented directly into any Diebold Opteva ATM, which enabled MFCU
to pilot the service without making extensive hardware upgrades.