Explore tweets tagged as #Upcoding
Phantom patients? Upcoding? Collusion? SHA is catching fraudsters red-handed. Ksh 53B of SHIF claims paid correctly. #SHAAgainstFraud Call 147, Mulika Mwizi @HonAdenDuale @MOH_Kenya
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Fraud tactics are shameful: upcoding, falsifying records, converting outpatient visits into fake inpatient stays, phantom patients, and collusion. Enough is enough. #SHAAgainstFraud Call 147 Mulika Mwizi @HonAdenDuale @MOH_Kenya
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SHA revealed systemic fraud including upcoding, falsification of records, phantom billing, and duplicate claims. This malpractice denies genuine patients care. Kenyans must Mulika Mwizi for accountability. #SHAAgainstFraud Call 147
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Fraudulent practices like phantom billing, upcoding and falsifying patient records threaten the future of universal healthcare. SHA is acting decisively, but public support is key. Mulika Mwizi by using Call 147 to report. #SHAAgainstFraud @HonAdenDuale
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Fraud drains public resources meant for health services. SHA has uncovered upcoding, falsification of records, phantom billing, and collusion among facilities. Kenyans are urged to Mulika Mwizi and Call 147 to report. #SHAAgainstFraud
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Upcoding: billing for a costlier procedure than what was done. SHA is exposing this trick and punishing offenders. #SHAAgainstFraud Call 147, Mulika Mwizi @HonAdenDuale @MOH_Kenya.
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Healthcare fraud is a global problem. In Kenya, SHA is confronting it head-on — stopping upcoding, collusion & fake claims. #SHAAgainstFraud.Call 147.Mulika Mwizi
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SHA has uncovered a network of sophisticated fraud schemes including upcoding of procedures, outright falsification of patient records, phantom billing for services never rendered, and collusion between providers to defraud the system. Call 147 #SHAAgainstFraud , Mulika Mwizi
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Phantom billing, upcoding, and falsification of medical records are not victimless crimes. They rob families of hope. Be the voice of accountability: Call 147 Mulika Mwizi. @HonAdenDuale @MOH_Kenya #SHAAgainstFraud
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Upcoding, phantom billing, fake admissions — fraudsters are stealing from your family’s healthcare. Don’t look away. Call 147. Mulika Mwizi. #SHAAgainstFraud
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Fraud is a global and systemic challenge. In Kenya, SHA has uncovered upcoding, falsified records, phantom billing, and collusion in health facilities, exposing malpractice and ensuring accountability. #SHAAgainstFraud.Call 147.Mulika Mwizi @HonAdenDuale, @MOH_Kenya
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The Ministry of Health has suspended 40 health facilities nationwide after a forensic audit by the Social Health Authority (SHA) uncovered fraudulent claims, including upcoding, falsified records, fake inpatient billing, multiple billing, and ghost patients.
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MoH suspends 40 health facilities after @SHAAudit exposes massive fraud upcoding, ghost patients, fake billing & more. 8 doctors & 4 clinical officers barred, facing DCI probe & possible licence cancellation. ➡ Protect your SHA OTP.➡ Biometric checks coming.➡ Report fraud:
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$AIG: Took massive RE–backed risks w/ insured premiums, forced to liquidate at fire-sale prices during ’07–’09 crash to pay back govt bail out. $UNH: Alleged Medicare upcoding & care avoidance → $6–10B fraud risk.AIG underestimated risk from derivatives.
I looked into what’s being alleged vs. $unh (some of it definitely happened) and they did many illegal and immoral things it’s actually wild. To get to the top of insurance you have to basically do illegal shit or gamble premiums on high risk high reward. You’ll never know too.
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SHA has zero tolerance for fraud. To protect public funds, Ksh 10.6B in fraudulent SHIF claims were rejected. Phantom billing, upcoding, and fake admissions won’t go unpunished. Stolen money must be recovered. Report fraud now! Call 147 #SHAAgainstFraud Mulika Mwizi
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The upcoding done by Medicare advantage insurers… United healthcare MA plans were caught upcoding the most. Guess who else makes bank off of United’s Medicare Advantage plans? .1/3🧵
REPORT: Senator Bill Cassidy is teaming up with the Democrats to cut Medicare Advantage funds to the people who need it the most. 34 million Americans depend on the benefits of Medicare Advantage, and President Trump pledged he would never cut Medicare. They’re working against.
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Avoiding AI-Driven Upcoding: How Providers Can Embrace Innovation Without Inviting Audits.How to cheat and not get caught? 😂.Because "it's so easy to cheat with code, it's so easy, so easy. yeah it's doggone easy. "
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Now BCBS Florida files an objection to Villages Health bankruptcy. Claims the Blues contract will be terminated, and overpayments not re-paid. As we suspected all along, upcoding was at the heart of the matter. On or about December 30, 2024, the Debtor’s CEO disclosed to.
Never a dull moment in the saga of The Villages Health bankruptcy. United objecting to insider DIP financing with some pretty strong allegations. Makes the loofah rumors in the Villages feel tame. "The Debtor, which purportedly filed its surprise chapter 11 petition because.
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National Report Upcoding Fraud Day. This holiday was created by an attorney, who previously worked with the DOJ, to help raise awareness about healthcare fraud and educate the public on how to report it if they think medical fraud is happening. Upcoding Fraud .This type of
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🏥🩺Two dermatology providers have agreed to pay $847K+ to resolve false wound repair claims related to allegations of upcoding and #Medicare fraud. A former employee who decided to blow the whistle and initiated this case will receive $152,531 as his share of the settlement.
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