Lawyer Andrew Sparks Quoted in the Health Plan Weekly Article, “Highmark Saved $15M Working With Feds to Fight Opioid Fraud”
- Sparks, Andrew L. .
- Media Mentions
Want to get our alerts?
Click “Subscribe Now” to get attorney insights on the latest developments in a range of services and industries.
Lexington Lawyer Andrew Sparks was quoted in the Health Plan Weekly article titled, “Highmark Saved $15M Working With Feds to Fight Opioid Fraud.”
Andrew says, “Insurers need to know the signs of opioid fraud, do their own investigations and make referrals to law enforcement, if necessary. Key indicators of a provider engaged in fraud include up-coded office visits, an unusually high number of patients seen in one day (especially for higher-level office visits) and too many lab tests, such as nerve conduction screenings, MRIs and CT scans. If you look at [a provider] and see that every patient’s revenue potential is being maximized, that’s a potential sign of fraud,” says Mr. Sparks.
To read the full article, please click here.
Andrew says, “Insurers need to know the signs of opioid fraud, do their own investigations and make referrals to law enforcement, if necessary. Key indicators of a provider engaged in fraud include up-coded office visits, an unusually high number of patients seen in one day (especially for higher-level office visits) and too many lab tests, such as nerve conduction screenings, MRIs and CT scans. If you look at [a provider] and see that every patient’s revenue potential is being maximized, that’s a potential sign of fraud,” says Mr. Sparks.
To read the full article, please click here.
Related Practices
Contacts
Recent Insights
- November 30, 2023 Webinars Dickinson Wright's 2023 Health Care Webinar Series
- May 16, 2023 Industry Alerts DEA Reverses Proposed Rule to Extend Telehealth Prescriptions of Controlled Substances
- April 10, 2023 Industry Alerts Sixth Circuit Defines False Claims Standards
- March 27, 2023 In the News Dickinson Wright Listed in Modern Healthcare’s 2023 Largest Law Firms
- February 10, 2023 Industry Alerts DOJ Announces Withdrawal of Longstanding Guidance for the Healthcare Industry and Eliminates Benchmarking Safety Zone for Competitively Sensitive Information
- July 12, 2022 Webinars Dickinson Wright Health Care Webinar Series
- June 16, 2022 Webinars Dickinson Wright Health Care Webinar Series: Monopoly Money: Do Non-Compete Agreements Violate Antitrust Laws and if so, How?
- April 05, 2022 Media Mentions Gregory Moore Quoted by Integrated Health Magazine on Growing Your Practice with a Clinical Integrated Network
- March 29, 2022 Industry Alerts Updates to Wit v. United Behavioral Health