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Gray zone fraud

Inside Gray Zone Fraud, AKA ‘Its Not Fraud,

Aug 20, 2026
Chargeback AI

Issuer-Side Chargeback AI: The Other Half of the

Aug 14, 2026
APP Scams

Instant Payments, Instant Losses: A Data Science Approach

Aug 09, 2026
BioCatch

BioCatch acquired by Visa for $2.4B

Aug 04, 2026
cocaine smuggling bananas

Evil Bananas: How Organized Crime Feeds Europe’s Drug

Aug 03, 2026
Human job roles

When AI Detects Fraud, What Human Job Roles

Jul 30, 2026
PCI DSS compliance

Chargeback Management Solution Justt Is Now PCI DSS

Jul 28, 2026
Expert Interview with Chen Zamir

AI’s Real Edge in Fraud Prevention Is Reaction

Jul 25, 2026
Identity check prevents insurance fraud

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Jul 22, 2026
Issuer-side AI solutions

Episode Six and Decisionly Partner to Modernize Issuer-Side

Jul 17, 2026
FraudBeat > gray zone fraud
Gray zone fraud
20
Aug

Inside Gray Zone Fraud, AKA ‘Its Not Fraud, Just Coding’

  • Randall Casciello
    Randall Casciello / August 20, 2026
  • 0

Gray zone fraud is one of the trickiest and most costly, and also most undetected healthcare fraud schemes in the industry.  These unsavory billing practices are so gray that they are not always flagged as fraudulent. The Centers for Medicare and Medicaid Services (CMS), in fact, even after recognizing $28.8 billion in Medicare FFS improper […]