Preventing Health Insurance Fraud in Canada

Each Canadian province provides guidance on reducing fraud and abuse within health care services covered by third-party insurance plans. Health professionals—including manual osteopaths and other regulated and unregulated practitioners—have a duty to understand and follow these guidelines. Members of NARDMO are encouraged to review provincial resources to stay informed about best practices, billing integrity, and their role in maintaining the trust and sustainability of extended health benefit programs.

Accurate and consistent clinical charting and billing is a key preventative step in reducing the risk of fraud. Detailed documentation supports the legitimacy of treatment, provides a clear record of care provided, and ensures transparency for insurers, regulators, and patients alike. Maintaining thorough records protects both the practitioner and the public.