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This profile was last updated on 11/30/15  and contains information from public web pages and contributions from the ZoomInfo community.

Nicholas J. Messuri

Wrong Nicholas J. Messuri?

Director Fraud Prevention and Rec...

Phone: (617) ***-****  HQ Phone
Tufts Health Plan Inc
705 3A Mount Auburn Street
Watertown , Massachusetts 02472
United States

Company Description: One of the country's largest health plans, Tufts Health Plan has received high marks for its quality from a variety of third parties including CareData Reports,...   more
Background

Board Memberships and Affiliations

65 Total References
Web References
San Diego,CA - The National ...
www.dentalasia.net [cached]
San Diego,CA - The National Healthcare Anti-Fraud Association (NHCAA) recently announced that Nicholas J. Messuri, Esq., Vice President and Deputy General Counsel for Fraud Prevention & Recovery at DentaQuest and Delta Dental of Massachusetts has been elected as the new Chair of its Board of Directors. Messuri succeeds Katherine M. Leff, Director of the Special Investigations Unit (SIU) at CareSource.
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Messuri joined DentaQuest in early 2015 and is responsible for overseeing a team of investigators and managing a national anti-fraud and abuse programme for Medicaid, Medicare Advantage and Commercial membership.
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Prior to taking on his new role at DentaQuest, Messuri was Director of Fraud Prevention & Recovery at Tufts Health Plan in Massachusetts where his Special Investigations Unit recovered and saved in excess of $65 million dollars. While at Tufts, he was invited by the Department of Justice to represent private health plans at the groundbreaking 2010 Healthcare Fraud Summit held in Bethesda, Maryland.
Messuri began his 29-year legal career with the Middlesex County District Attorney's Office and has more than 17 years of experience as a criminal prosecutor, including ten years as Chief of the Massachusetts Attorney General's Medicaid Fraud Division and Chief of the Business & Labour Crimes Bureau. As the Commonwealth's chief healthcare fraud prosecutor his division recovered more than $70 million dollars in restitution and obtained civil judgments and convictions against providers for a variety of healthcare fraud and abuse schemes including: billing for services not rendered, billing for medically unnecessary services, up-coding services, providing substandard care and causing false healthcare claims.
Other leadership roles Messuri has previously held include President of the National Association of Medicaid Fraud Control Units (NAMFCU) and Chair of the National Association of Attorneys General Multi-State False Claims Act Committee. He has testified before the United States Senate Finance Committee on improving Medicaid fraud control initiatives and is a frequent healthcare fraud enforcement writer and speaker for the American Health Lawyers Association. In 2012, Messuri was appointed by the Centres for Medicare & Medicaid Services (CMS) as the first Co-Chair of the National Healthcare Fraud Prevention Partnership's Information Sharing Committee.
"Nick has served NHCAA for several years, sharing his wide-ranging experience and keen legal insights and we are delighted that he will be leading NHCAA as we enter our fourth decade of protecting and serving the public interest against healthcare fraud," said Louis Saccoccio, Chief Executive Officer of NHCAA.
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"Nick has already made a tremendous contribution to the association with his pragmatic and innovative thinking together with his ability to speak plainly about his vision for effectively fighting healthcare fraud. NHCAA and its members are proud to have Nick Messuri serve as Chair of the 2016 Board of Directors."
Looking ahead to his year as Chair, Messuri said, "I am honoured to have the opportunity to lead NHCAA as it continues in pursuit of its mission.
Nicholas ...
capecodseniors.org [cached]
Nicholas Messuri Director, MFCU Medicaid Fraud Control Unit of Massachusetts Office of the Attorney General 200 Portland Street 4th Floor Boston, MA 02114-1700 Work: (617)727-2200 Fax: (617)727-200
San Diego, CA - The National ...
www.dentalasia.net [cached]
San Diego, CA - The National Healthcare Anti-Fraud Association (NHCAA) recently announced that Nicholas J. Messuri, Esq., Vice President and Deputy General Counsel for Fraud Prevention & Recovery at DentaQuest and Delta Dental of Massachusetts has been elected as the new Chair of its Board of Directors. Messuri ...
Board of Directors - The NHCAA
nhcaa.org [cached]
Nicholas Messuri, Esq.
Board of Directors - The NHCAA
www.nhcaa.org [cached]
Nicholas Messuri, Esq.
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