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About CHCAA

The Canadian Health Care Anti-fraud Association was founded in 2000 to give a voice to the public and private sector health care organizations interested in preventing fraud in the Canadian health care environment.
Membership is open to organizations and individuals responsible for the detection, prevention, investigation and prosecution of health care fraud.

Our International Partners

National Health Care Anti-Fraud Association European Healthcare Fraud and Corruption Network Health Insurance Counter Fraud Group

The digital revolution is poised to transform Canadian health care, promising more timely access to doctors and streamlined service that is expected to improve the patient experience while reducing waste and unnecessary testing. But the technological changes – from an app that connects surgical patients to their doctors, wherever they are, to the dream of a single electronic health record a patient has for life – also come with a downside: the possible breach of privacy.
Ontario’s Privacy Commissioner Ann Cavoukian says she is a huge supporter of electronic health records but stressed they must be done in a secure manner, adding that nothing deserves greater protection than a patient’s medical information.

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HSBC Holdings PLC is under investigation by a U.S. Senate panel in a money-laundering inquiry, the latest step in a long-running U.S. effort to halt shadowy money flows through global banks, according to people familiar with the situation and a company securities filing.

A pain-management doctor was indicted in 2008 by the Justice Department on 169 counts of alleged healthcare fraud, tax evasion, money laundering and witness tampering. The doctor allegedly moved hundreds of thousands of dollars in Medicare fraud proceeds between an HSBC Bank USA internet account and other HSBC accounts in Canada, Hong Kong and the Philippines, according to U.S. District Court filings in West Virginia. The doctor has pleaded not guilty.

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A former dentist in the U.S. has pleaded guilty to fraud for using paper clips instead of stainless steel posts in root canals.
He will be sentenced next Monday after pleading guilty last week in a Massachusetts court to a variety of charges, including defrauding a government health program of $130,000, assault and battery, illegally prescribing prescription drugs and witness intimidation.

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A Canadian man accused of masterminding one of the largest high-tech bank robberies in U.S. history was sentenced to nearly 18 years in prison Monday following a years-long investigation into fake debt collection agencies that stole the identities of about 38,000 people. With access to those data providers,the man and others obtained the personal identification information to about 38,000 people, most of whom were medical professionals. They used that information to open credit card, debit and checking accounts, prosecutors said.

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The number of medical treatment claims being rejected by insurers has soared since September when the Ontario government introduced new rules designed to combat insurance fraud, according to the results of a survey conducted by a group representing medical and rehabilitation providers. The survey of 1,143 rehabilitation providers found that 42 per cent of requests for treatment are being rejected, compared to about 11 per cent last year.

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The ringleader of a criminal organization that faked over a dozen car crashes enriched himself to the tune of $1.2 million thanks to a series of dangerous collisions on public streets, a Toronto court heard Friday. He controlled a string of body shops, towing companies, physiotherapy clinics and bank accounts to orchestrate the scam, according to an agreed statement of facts read aloud in court. He also recruited participants in the crime ring — as many as 40 — and instructed them in staging the collisions, lying to police, and filing fraudulent insurance claims.

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