What is the role of the Blue Cross and Blue Shield Association’s (BCBSA) National Anti-Fraud Department (NAFD)?
• Provides healthcare fraud management direction and support to the anti-fraud units employed by the 39 independent BCBS Plans. Coordinates the BCBSA National Anti Fraud Strike Force multi-jurisdictional and foreign claims related activities; and Provides services to the Blue Plans’ anti-fraud units in detecting, preventing, and investigating healthcare fraud, and recovering improper payments. Protect the FEP program from fraud, waste and abuse through oversight of Plan investigative activity related to the FEP program as well as conducting investigation that compliment to work done by the local Plan. 2) How many people are employed by the BCBSA and the 39 independent BCBS Plans to combat healthcare fraud? In 2008, more than 500 employees were dedicated to BCBSA and the BCBS Plans’ anti-fraud efforts across the nation. 3) What is the primary focus of the BCBSA’s anti-fraud efforts? The NAFD works with the BCBS Plans, the healthcare community, consumers, and others to prevent improper p
