How can you spot fraudulently recruited COVIDera Hereditary Cancer Tests?

Jun 13, 2022 | News

๐—ข๐—ป๐—ฒ ๐—ผ๐—ณ ๐˜๐—ต๐—ฒ ๐—น๐—ฎ๐—ฟ๐—ด๐—ฒ๐˜€๐˜ ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—ฐ๐—ฎ๐—ฟ๐—ฒ ๐—ณ๐—ฟ๐—ฎ๐˜‚๐—ฑ ๐˜€๐—ฐ๐—ต๐—ฒ๐—บ๐—ฒ๐˜€ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐—ฐ๐—ต๐—ฎ๐—ฟ๐—ด๐—ฒ๐—ฑ ๐—ฏ๐˜† ๐˜๐—ต๐—ฒ ๐—จ๐—ฆ ๐——๐—ฒ๐—ฝ๐—ฎ๐—ฟ๐˜๐—บ๐—ฒ๐—ป๐˜ ๐—ผ๐—ณ ๐—๐˜‚๐˜€๐˜๐—ถ๐—ฐ๐—ฒ ๐˜„๐—ฎ๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—š๐—˜๐—ก๐—˜๐—ง๐—œ๐—– ๐—ง๐—˜๐—ฆ๐—ง๐—œ๐—ก๐—š! Variations of ๐˜๐—ต๐—ฒ ๐—ณ๐—ฟ๐—ฎ๐˜‚๐—ฑ ๐—ฎ๐—ฟ๐—ฒ ๐—ผ๐—ป๐—ด๐—ผ๐—ถ๐—ป๐—ด ๐—ฎ๐—ป๐—ฑ ๐—ป๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐˜„๐—ถ๐—ฑ๐—ฒ, and so severe that the US HHS Office of Inspector General maintains a website, with a professionally produced short video warning people about the fraud scheme:ย https://lnkd.in/gJbpE4Un

๐—จ๐—ป๐—ณ๐—ผ๐—ฟ๐˜๐˜‚๐—ป๐—ฎ๐˜๐—ฒ๐—น๐˜† ๐—–๐—ข๐—ฉ๐—œ๐—— ๐—ฝ๐—ฟ๐—ฒ๐˜€๐—ฒ๐—ป๐˜๐—ฒ๐—ฑ ๐—ฎ ๐—บ๐—ฎ๐—ด๐—ป๐—ถ๐—ณ๐—ถ๐—ฐ๐—ฒ๐—ป๐˜ ๐˜„๐—ฎ๐˜† ๐—ณ๐—ผ๐—ฟ ๐˜‚๐—ป๐—ฒ๐˜๐—ต๐—ถ๐—ฐ๐—ฎ๐—นย Clinical Geneticsย ๐—น๐—ฎ๐—ฏ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐—บ๐—ถ๐—ฑ๐—ฑ๐—น๐—ฒ๐—บ๐—ฒ๐—ป ๐˜๐—ผ ๐—ฎ๐—บ๐—ฝ๐—น๐—ถ๐—ณ๐˜† ๐˜๐—ต๐—ฒ ๐—ณ๐—ฟ๐—ฎ๐˜‚๐—ฑ. COVID samples were used to also run unnecessary hereditary cancer tests which were (still are?) billedย payers.

For theย SIUย folks atย Health Insurance Payers, quickly view the attached slides to learn how to easily spot in your claims data potential COVID era patient recruitment fraud for hereditary cancer testing.

And while we at the nonprofitย Center for Genomic Interpretationย are happy to help payers find fraudulent patient recruitment and fraudulent billing fromย Cinical Geneticsย andย Genomicsย labs, the biggest waste ofย HealthCareย dollars is actually due to inaccurate and low quality genetic and genomic tests. The downstream care of plan members which is misguided by the plethora of inaccurate diagnostic tests likely costs far more than any billing fraud scheme out there inย Precision Medicine. Thatโ€™s why we provideย #ELEVATEGENETICSย services:ย genomicinterpretation.org/elevategenetics/ย . We helpย payersย figure out which genetic and genomic tests are accurate, and which are not. Because โ€œmost genetic tests today are not regulated, meaning that they go to market without any independent analysis to verify the claims of the sellerโ€ โ€“ (This is a warning from the NIH found here.

The post How can you spot fraudulently recruited COVIDera Hereditary Cancer Tests? appeared first on Center for Genomic Interpretation.

๐—ข๐—ป๐—ฒ ๐—ผ๐—ณ ๐˜๐—ต๐—ฒ ๐—น๐—ฎ๐—ฟ๐—ด๐—ฒ๐˜€๐˜ ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—ฐ๐—ฎ๐—ฟ๐—ฒ ๐—ณ๐—ฟ๐—ฎ๐˜‚๐—ฑ ๐˜€๐—ฐ๐—ต๐—ฒ๐—บ๐—ฒ๐˜€ ๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐—ฐ๐—ต๐—ฎ๐—ฟ๐—ด๐—ฒ๐—ฑ ๐—ฏ๐˜† ๐˜๐—ต๐—ฒ ๐—จ๐—ฆ ๐——๐—ฒ๐—ฝ๐—ฎ๐—ฟ๐˜๐—บ๐—ฒ๐—ป๐˜ ๐—ผ๐—ณ ๐—๐˜‚๐˜€๐˜๐—ถ๐—ฐ๐—ฒ ๐˜„๐—ฎ๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—š๐—˜๐—ก๐—˜๐—ง๐—œ๐—– ๐—ง๐—˜๐—ฆ๐—ง๐—œ๐—ก๐—š! Variations of ๐˜๐—ต๐—ฒ ๐—ณ๐—ฟ๐—ฎ๐˜‚๐—ฑ ๐—ฎ๐—ฟ๐—ฒ ๐—ผ๐—ป๐—ด๐—ผ๐—ถ๐—ป๐—ด ๐—ฎ๐—ป๐—ฑ ๐—ป๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐˜„๐—ถ๐—ฑ๐—ฒ, and so severe that the US HHS Office of Inspector General maintains a website, with a professionally produced short video warning people about the fraud scheme:ย https://lnkd.in/gJbpE4Un
The post How can you spot fraudulently recruited COVIDera Hereditary Cancer Tests? appeared first on Center for Genomic Interpretation.