A federal report Tuesday spelled out the results of the South Florida calls: $58.6 million in overpayments recovered, $10.7 million in questionable bills not paid, $3 million seized from fraudulent firms, 103 companies booted from Medicare, 106 companies flagged for extra scrutiny, 835 fraud investigations started, and 30 cases referred for prosecution.
Video: Maryland Senator Ben Cardin Goes On Record On Medicare Fraud
The Medicare Fraud Info Sheet
By: Edward Zannerid Medicare fraudis now one of the pressing issues in healthcare.The government has instituted the medicare program in order to address the healthcare needs of the people. The medicare project is a really noble endeavor and has helped save so many lives already.Healthcare is a basic human right and everyone should be entitled to it.The problem is that not all citizens are capable of paying for their medical needs.Through medicare the government is able to subsidize the healthcare expenses of the citizens. Yet medicare fraud has become a big hindrance to these services.Some people involved in the implementation of this program try to take advantage of it.They come up with schemes that are purely for personal gain and can be detrimental to the people.It is important for us to be aware of these scams so we can watch out for it. Healthcare personnel can commit fraud by false billing.They do this by making patients who are medicare beneficiaries sign blank forms or sometimes tamper the forms.The forms would state a more expensive service or drug.Then they will have the government reimburse the false bill. Medical suppliers can also commit fraud through false billing and sometimes identity theft.This is worse because the medicare beneficiary isn’t able to avail of any service at all yet the government has to pay.This is done by using stolen medicare information to set up medicare claims. Though this may not directly affect the public, it still deprives them of what they should actually be getting.Their welfare is being sacrificed for the personal gain of a selfish group.That’s why the government is asking citizens to help catch these perpetrators by reporting to the medicare fraud hotline.Let us help the government provide better services for everyone. Got some news about medicare fraud?Click on this link medicare fraud hotline. Article Courtesy of Azoomed – Submit Your Articles – Become an Expert In Your Niche
All About My Interests: Medicare Fraud: How To Solve Them?
In our present-day society, the medicare fraud produces staggering numbers. It is all too common to see scams that are huge – billions of dollars – in this industry. There are many reasons for that however, for one, the industry in itself is massive and hence, vulnerable to such scams. Two, the people who are involved – patients who want treatment – are desperate for the most part so that also plays a role.
How Does Medicare Fraud Work?
In many such cases, the mistake isn’t a deliberate one; it’s an oversight. Communicating the same to the management will, most of the time, solve the problem however in the rare case it doesn’t, you should call the medicare fraud hotline. The government, at least in the USA, has hotlines that you can dial when you suspect fraud. You can find the numbers on your medicare website.
Low Cost Health Insurance Plans and Companies: Parsing Out the Costs of Part D
Four percent of retail pharmacies nationwide exhibited questionable billing of the Medicare prescription drug program (Part D) in 2009, reports the Office of the Inspector General (OIG) in its new study, “Retail Pharmacies with Questionable Part D Billing.” The study comes on the heels of revelations about various fraud schemes involving Part D, including pharmacies billing for drugs that were never picked up, billing for brand-name drugs when generics were actually dispensed, and paying providers to write unnecessary prescriptions. For its study, the OIG examined all claims submitted to Part D by retail pharmacies in 2009 and developed eight measures to identify questionable billing habits. According to the report, four percent of retail pharmacies studied exceeded OIG-created thresholds for one or more of the eight measures. For instance, the OIG identified pharmacies that billed a large number of prescriptions ordered from certain prescribers, which could indicate a relationship between pharmacy and provider; at one pharmacy, a single prescriber ordered 85 percent of all of the pharmacy’s prescriptions in the year. Although the study does not identify actual instances of Medicare fraud, it demonstrates that oversight of the Part D program, managed by a Medicare Drug Integrity Contractor (MEDIC), currently has weaknesses. In its report, the OIG makes recommendations to CMS to improve fraud and waste detection, prevention and investigation. These recommendations include strengthening the MEDIC’s monitoring of pharmacies and its ability to identify pharmacies with questionable billing; requiring Part D plans to report all incidents of potential fraud and abuse for further review by CMS; and strengthening CMS’ audits of Part D compliance plans. Beneficiaries can contribute to identifying and preventing fraud by reading their Medicare Summary Notices and Explanations of Benefits—summaries of claims that have been submitted to Medicare—to make sure they actually received the listed services, including prescription drugs. To report fraud, beneficiaries can contact 1-800-MEDICARE or the Inspector General’s fraud hotline at 1-800-HHS-TIPS. Read the OIG report, “Retail Pharmacies with Questionable Part D Billing.”
What We Have To Lose With Medicare Fraud
To report Medicare fraud, a whistle blower can contact the Medicare fraud hotline or go online to the Medicare hotline. The government gives out rewards for those who choose to be whistleblowers. There are set rules in place to avoid any type of trickery, or false alarms. Learn more about medicare fraud and its traces. In case you are residing outside the US, you may want to find out all you can about these programs.