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SIU Leadership

Across
Fraud research analytics concepts
Request for Information
Knowingly and willfully executing, or attempting to execute, a scheme to defraud a health care benefit program......
To inspire with courage, spirit, or hope
To work jointly with others
Department that investigates allegations of FWA
To flourish
Down
Area that prescreens allegations
Associate who performs investigations
Direction of counsel
A strong desire to know or learn something
Department of Justice
Centers for Medicare and Medicaid Services
Payment for items or services when there is no legal entitlement to that payment and the individual or entity has not knowingly and/or intentionally misrepresented facts to obtain payment.
Overutilization of services or other practices that, directly or indirectly, result in unnecessary costs to the health care system, including Medicare and Medicaid programs. It is not generally considered to be caused by criminally negligent actions, but by the misuse of resources.