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Senior Director Corporate and Financial Investigations
HQ Phone:  (215) 241-2400
Direct Phone: (215) ***-****
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1901 Market Street 38Th Floor
Independence Blue CrossÂ is a leading health insurer in southeastern Pennsylvania. Nationwide, Independence Blue Cross and its affiliates provide coverage to nearly 3.1 million people. For 73 years, Independence Blue Cross has offered high-quality health care ... more.
Pennsylvania Insurance Fraud Prevention Authority
Insurance Fraud Prevention Act
Health Insurance Representative On the Board of Directors
Maryland Military Academy
University of Baltimore
business administration and accounting
Burnham then recognized recently retired IFPA Board Members, John M. Henry and Edward J. Litchko, with 2014 Fraud Fighter Awards for their years of service to insurers and insurance consumers while serving on the IFPA's Board of Directors.
Litchko, after a 28 year federal criminal law enforcement career with the U.S. Internal Revenue Service, had joined Independence Blue Cross (IBC) in April 2000 as Senior Director of Corporate & Financial Investigations. While at IBC, he had been legislatively appointed to serve on the IFPA Board from 2005 through the end of 2013 as the representative of health insurers. Litchko had also enjoyed a parallel military career with the U.S. Army, retiring with the rank of Lieutenant Colonel.
Edward J. Litchko, Senior Director, Corporate and Financial Investigations Department, Independence Blue Cross
"They feel it's easy money," says Ed Litchko, the senior director of corporate and financial investigations at Independence Blue Cross (IBC) in southeast Pennsylvania.
Ed Litchko Crooks can set up pill mills pretty quickly, says Ed Litchko, the senior director of corporate and financial investigations at Independence Blue Cross. "The software [identifies] what appears as an aberrant billing pattern compared with the provider's known history," says Litchko. Litchko says that the crooks can set up pill mills very quickly. Litchko belongs to a half-dozen organizations in which health plans share data, including a federal initiative launched last year called the Public-Private Partnership to Prevent Health Care Fraud, established by the Department of Health and Human Services and the Department of Justice. "I know what's affecting Pennsylvania," says Litchko. "That means many, many more codes that the providers can use when they submit claims," says Litchko. A never-ending battle, but worth it, says Litchko, who estimates that his department recovers about $62 million in overpaid claims a year. Litchko, stationed in Philadelphia, at one point speaks above the sound of sirens in the background.
Edward J. Litchko
Senior Director, Corporate and Financial Investigations Department Independence Blue Cross
Kimberly Brandt, Director, Program Integrity Group, Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services; Edward J. Litchko, Senior Director, Corporate & Financial Investigations Department, Independence Blue Cross; Cesar Arias, Private Investigator, Stonecold Investigations, LLC
Slides from the presentations by Ms. Brandt, Mr. Litchko, and Mr. Arias are available for download.