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Independence Blue Cross
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Independence Blue Cross (IBC) is the leading health insurer in southeastern Pennsylvania. IBC and its affiliates provide coverage to nearly 3.4 million people. For nearly 70 years, Independence Blue Cross has offered quality health care products and servi...
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Burnham then recognized recently retired ...
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.
had also enjoyed a parallel military career with the U.S. Army
, retiring with the rank of Lieutenant Colonel.
PA Insurance Fraud Prevention Authority > Fighting Insurance Fraud > 2011 PA Insurance Fraud Conference > 2011 List of Presenters and Vendors
Edward J. Litchko, Senior Director, Corporate and Financial Investigations Department, Independence Blue Cross
"They feel it's easy money," says ...
"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.
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
says that the crooks can set up pill mills very quickly.
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.
, stationed in Philadelphia, at one point speaks above the sound of sirens in the background.
"We're pleased to be recognized for ...
"We're pleased to be recognized for our vigilant efforts to identify, investigate, and recover overpaid medical claims and protect our members and group employers from rising health care costs," said Edward Litchko, IBC senior director of the corporate and financial investigations department.
Edward J. ...
Edward J. Litchko
Senior Director, Corporate and Financial Investigations Department
Independence Blue Cross