Billion Dollar Medicaid Fraud exposed at Fraud and Forensic Accounting Conference in Baton Rouge – L’Observateur

To find fraud, stick to the funds,” says Dr. Jacob Kuriyan, President of Physmark, Inc. and Care Maps, Inc.

In his presentation at the 2022 Fraud and Forensic Accounting Conference E.J. Ourso University of Business enterprise, Louisiana State College, Baton Rouge, the scientist will disclose the results of investigating a myriad of health and fitness treatment data.

“We found fraud at the best of the food chain – in the multibillion-dollar transactions involving the federal government and well being insurance firms,” claims Kuriyan.

After many years of coding application for healthcare businesses, Kuriyan has developed very intricate forensic accounting resources which are equipped to expose the serious fees of professional medical services.

“Insurance companies systematically overcharge the governing administration for their Medicare wellness insurance policies program,” Kuriyan states and delivers proof: Just after we analyzed the information, according to the state’s Legislative Finance Committee, New Mexico recovered $660 million in “intentional overpayments” in the interval from 2014- 2017.

Exact auditing is vital. Due to amplified overall health treatment costs, millions of people today in the US will only have accessibility to quite minimal wellness treatment – or will have none at all. Therefore, Kuriyan gives a way out:

“If we get an chance to assessment the data with our CareMaps program, the US governing administration will probably be in a position to get better much more than 100 billion greenback from the insurance policies organizations.