How PPN is Fighting Fraud
FIND OUT HOW PPN IS FIGHTING FRAUD
Fraud, Waste and Abuse of benefits are one of the major contributing factors to our rising health care costs.
PPN would like to put your mind at ease and can assure you that the PPN forensic unit initiates campaigns that detect occurrences of fraudulent activities, investigates them and creates prevention mechanisms to deter these acts from occurring in future.
PPN has created the following mechanisms as part of our fraud prevention campaigns:
- Authenticate-It for lens validation
- Practice profiling
- Automated System filters
- A Hotline service to report fraudulent activities in the industry by either members or providers
- Member interviews
PPN further enhances systems and information through the strategic partnerships with forensic auditing companies with required expertise and participation at HFMU level.