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National Report Upcoding Fraud Day

Date

Aug 21 2025

Time

All Day

National Report Upcoding Fraud Day

Unmasking Healthcare’s Hidden Villains

Gather ’round, dear friends, for I’ve got a tale to tell about a day that might not be marked on your calendar, but perhaps should be. It’s National Report Upcoding Fraud Day, a day that shines a light on the shadowy world of healthcare fraud. Now, don’t roll your eyes just yet – this isn’t your typical, yawn-inducing awareness day. Oh no, it’s a day with more twists and turns than a hospital soap opera!

The Birth of a Fraud-Fighting Holiday

Picture this: It’s 2017, and Joel Hesch, a chap who’d spent 15 years in the Department of Justice’s whistleblower reward office, decides he’s had enough of government work. But instead of retiring to a quiet life of gardening and afternoon tea, he embarks on a mission. A mission to help everyday heroes – whistleblowers – claim their rightful rewards for exposing healthcare fraud.

And thus, National Report Upcoding Fraud Day was born, landing on our calendars every 21st of August. It’s like Christmas for the ethically-minded, only instead of presents under the tree, we get the warm, fuzzy feeling of knowing we’re sticking it to the fraudsters.

What’s All This Upcoding Malarkey?

Now, you might be wondering, “What in the world is upcoding?” Well, let me paint you a picture. Imagine you go to the doctor with a splinter, and they bill it as open-heart surgery. That, my friends, is upcoding – the naughty practice of assigning incorrect billing codes to inflate reimbursement.

It’s not just a bit of creative accounting, mind you. This sneaky business costs the US a whopping $65 billion in Medicare fraud each year. That’s enough dosh to buy everyone in the country a rather nice fish and chips dinner!

The Day’s Noble Quest

So, what’s the point of this day, you ask? Well, it’s not just an excuse for healthcare professionals to wear party hats (though I’m all for that). The day aims to:

  • Empower whistleblowers to speak up
  • Provide a roadmap for reporting fraud
  • Help the government reclaim those billions of lost dollars
  • Give us all a chance to play detective in the grand healthcare mystery

How to Be a Fraud-Fighting Superhero

Fancy joining the ranks of healthcare fraud fighters? Here’s how you can celebrate this day in style:

  1. Get educated: Pop over to Joel Hesch’s website or download his free e-book. It’s like a spy novel, but with more Medicare codes.
  2. Sharpen your fraud-spotting skills: Learn to recognise the signs of upcoding. It’s like bird watching, but instead of rare finches, you’re looking for suspicious billing practices.
  3. Spread the word: Tell your friends, family, and that nice lady at the bus stop about this day. The more people who know, the harder it is for fraudsters to hide.
  4. Support whistleblowers: If you know someone who’s blown the whistle on fraud, buy them a pint. They’ve earned it.
National Report Upcoding Fraud Day
National Report Upcoding Fraud Day

Gifts for the Fraud-Fighter in Your Life

Wondering what to get your mate who’s always banging on about healthcare integrity? Here are a few ideas:

  • A superhero cape (with ‘Fraud Fighter’ emblazoned on the back, naturally)
  • A magnifying glass for spotting those tiny, suspicious details
  • A ‘Get Out of Jail Free’ card (just kidding – that’s for the fraudsters!)

What’s Next in the Fraud-Fighting Saga?

As we look to the future, the fight against healthcare fraud continues. Here’s what we can do:

  • Keep spreading the word about the importance of reporting fraud
  • Support measures to prevent and detect dodgy billing practices
  • Encourage more people to join the ranks of whistleblowers (cape optional, but recommended)

Wrapping Up Our Fraud-Fighting Tale

And so, dear readers, we come to the end of our journey through the world of National Report Upcoding Fraud Day. It might not be the most glamorous of celebrations, but it’s certainly one of the most important.

Remember, every time you report fraud, an accountant gets their wings. Or at least, the healthcare system gets a little bit healthier. So keep your eyes peeled, your wits about you, and your whistles at the ready. After all, in the grand theatre of healthcare, we all have a part to play in making sure the villains don’t steal the show.

And who knows? Maybe next year, we’ll all be celebrating National Report Upcoding Fraud Day with parades, fireworks, and perhaps a cheeky audit or two. Until then, stay vigilant, my friends, and happy fraud-fighting!

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