Key Takeaways
- Amid heightened scrutiny of Medicaid spending, investigators from North Carolina’s four Medicaid managed care companies have teamed up to create a Medicaid fraud task force.
- Their goal: to spot billing patterns across plans, since the MCOs often contract with the same providers, and resolve cases faster.
- Autism treatment is a top concern, with Medicaid spending on the popular applied behavioral analysis therapy ballooning in recent years.
By Jaymie Baxley
North Carolina’s four Medicaid contractors have joined forces on what they say is the state’s first joint task force dedicated to rooting out cases of fraud, waste and abuse in the Medicaid program.
The North Carolina Association of Health Plans launched the task force in August to bring together the special investigative units and government relations staff from each of the state’s four Medicaid…
CLICK HERE to read the FULL NC health plans form task force to fight Medicaid fraud article.
This remains the most prevalent form of financial crime globally. It targets the direct access points to your money: your cards and your bank accounts.
- Skimming: Criminals use small devices called “skimmers” placed over ATM or point-of-sale card slots to capture the data from your card’s magnetic strip.
- Card-Not-Present (CNP) Fraud: This occurs during online shopping where a physical card isn’t required. Thieves use stolen card numbers, expiry dates, and CVV codes to make unauthorized purchases.
- Account Takeover (ATO): A hacker gains access to your online banking credentials (often through malware or phishing) and changes the contact details or passwords, locking you out while they drain your funds.