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	FRAUD DETERRENT AND DETECTION SYSTEM

Summary

Since 1987, our research team has been developing equipment and procedures for the detection of medical claims fraud. We have been awarded five US Patents and our Lab has assisted in the reduction of millions of dollars, in Insurance claims fraud. The culmination of our efforts is a simple, low cost system that will significantly reduce medical fraud.

Having analyzed thousands of treatment sign-in sheets, the most prevalent type of fraud is multiple signing for medical treatment. The Claimant signs his/her name three to five times on each Doctor visit, thereby increasing their claim award. Fraudulent dates are then added to the treatment record, by the Doctors office personnel. This process greatly increases the medical costs, and the Claim award. This type of fraud is quite common and averages over 50% of the suspect medical claims, submitted to our lab. We have been able to prove approximately 35% of the suspect treatment records, contain this type of fraud. 

Our system utilizes a special “sign-in form and pen”. The form can be analyzed on our Computer Aided Document Analysis System, to deter and detect fraud. The implementation of our system will save hundreds of millions of dollars and create “new” productive jobs in California.

Overview and Concepts

A.   THE PROBLEM

The alarming fact is that the Claimants, Medical Office Personnel and the Doctors, are all involved in this fraud! The Doctors alienate themselves somewhat by letting the Office Personnel handle the sign-in process. But I can only guess why the Doctors go along, ie: they feel they are doing their Patients a favor, because they need the money ?; they feel the Government and Insurance Companies can afford it ?; they need the additional income ? or they feel that everyone else does it, and they can claim they didn’t see it happen ?.

I truly believe that Doctors are law abiding, good hearted people, in general. I believe they are just trying to help their patients during a difficult time. However, this attitude costs everyone. We all pay for it in increased Work Comp, Insurance, medical and legal costs

The major point here is that this fraud starts with the Doctors over billing and amplifies into investigations and litigation from there.

B.  THE SOLUTION

With the use of our sign-in form you will put a stop to this problem, at the source.

The Doctor uses our sign-in form and is responsible for its accuracy. All his patients must sign and date the form for each treatment he gives, and he must verify the authenticity of the entries, by signing it himself. The procedure notifies him that the sign-in form will be analyzed by a Computer Aided Document Analysis System, for verification of its authenticity. The procedure warns that a non authentic record constitutes fraud, punishable by fine or a prison term, if he is convicted.

Our sign-in form also has a bold warning printed on it, which reads, ie: “Caution: the entries on this form will be analyzed by a Document Laboratory for verification of date accuracy and authenticity. Fraud is punishable by fine or imprisonment.”

The form contains time determinant ink and other designs to detect fraudulent entries.

Please See SignaScanInk.com.

B.   THE RESULT OF IMPLEMENTATION

The Doctor realizes that he is now accountable for his medical records.

He sees he now has to write his signature (on a special form) stating the record is authentic, and someone is going to check, to see if he is telling the truth.  

We will be checking, to make sure his medical record is truly authentic.

You will stop the Doctors participation and stop the “Gravy Train” that follows.

I believe this system will reduce Medical Claims Fraud by over 30%, just due to the Doctors Fear of Being Caught cheating. 

The cost savings will be substantial.

Our System will save hundreds of millions of dollars per year in California Insurance and Work Comp fraud. 

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