Fraud is defined as a deliberate and dishonest act committed with the knowledge that it may result in an unauthorized benefit to the person who committed the act or to others who are similarly ineligible to benefit. Healthcare fraud is a type of fraud. Provider fraud is one of the biggest problems that Medicare is currently facing. Healthcare fraud is an organized crime that involves peers of providers, physicians, and beneficiaries acting together to make fraud claims. According to US legislation, an insurance company should pay a legitimate healthcare claim within 30 days. Thus, there is very little time to investigate the situation properly. Insurance companies are the most vulnerable institutions impacted due to these bad practices. According to the US government, the total Medicare spending increased exponentially due to fraud in Medicare claims.

1 RESEARCH METHODOLOGY

2 RESEARCH OBJECTIVES

3 RESEARCH PROCESS

4 SCOPE & COVERAGE

5 REPORT ASSUMPTIONS & CAVEATS

6 MARKET AT A GLANCE

7 PREMIUM INSIGHTS

8 INTRODUCTION

9 MARKET OPPORTUNITIES & TRENDS

10 MARKET GROWTH ENABLERS

11 MARKET RESTRAINTS