Fighting fraud is becoming more meaningful to most insurers, research indicate. The Washington, D.C.-based Coalition Against Insurance Fraud (CAIF), for instance, found that 86% of insurers track the percentage of claims they refer to their SIUs and that 39% refer between one percent to three percent of claims.CAIF found that 80% of insurers track how much money anti-fraud activities save their companies, while 11% of insurers rate their investigators based on how much money they save the company.

James Quigley, CAIF's director of communications, says health insurers have had a tough year dealing with complex fraud schemes, such as "rent a patient" where a fraud perpetrator recruits low-income or minority patients and pays them a substantial sum of money to visit clinics solely for unnecessary diagnostic tests or surgery. The clinics then bill the insurance company an inflated amount for procedures that were done.

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