CMTA collaborates with various third party insurers and the Canadian Life and Health Insurance Association in the prevention of medical fraud. Fraud negatively impacts the profession. On this page you will find links and information on how you as a practitioner can protect identity theft as well as how to prevent medical fraud.
Insurance
-
CLHIA
The Canadian Life and Health Insurance Association (CLHIA) has collaborated with the Extended Healthcare Professionals Coalition (EHPC) to produce a new guide that will help health care providers understand the private health insurance environment and to help their patients understand the services they are able to receive through their insurance plan, including health care spending accounts.
This initiative will be continually updated with new information as needed in order to keep it relevant. We look forward to the new tools that the CLHIA and the EHPC will continue to work on, including webinars on insurance matters for health care providers.
-
Insurance Bureau of Canada
There are a number of ways fraudulent activities may take place when it comes to medical services fraud. Some examples may include:
- Overbill for services performed or bill for services that are not performed
- Provide and bill for additional, unnecessary assessments, treatments, examinations or assistive devices
- Provide and bill for an uncovered service as though it is a covered service
- Bill for assistive devices that are never provided
- Abuse or falsely use credentials of health practitioners to authorize billing frauds.
-
Best Practice for Issuing of Receipts to Patients
The following is an example of best practice for therapists when issuing receipts to patients for treatments
Best Practice for Issuing Receipts-English
Best Practice for Issuing Receipts-French