Essay on Medicare Fraud

636 Words Mar 20th, 2013 3 Pages
Medicare fraud is becoming a huge problem in today’s society. Medicare is a health insurance program for personnel paid by taxes the American population contributes to for personnel 65 years or older. When a health care provider, health suppliers, and private health companies deliberately bill Medicare for supplies or services that were not given is considered Medicare Fraud. To include, when a person uses another person’s Medicare card to receive health care for which the person does not qualify for. An individual, company, or a group can commit a Medicare fraud scheme.
Medicare Fraud Scheme
A physician, office manager for the physician’s medical practice, and five owners of health care agencies were arrested for charges related to the
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Affects of Medicare Fraud Medicare fraud affects everyone indirectly. Fraud causes increased costs for patrons, tax payers, health insurance plans, and degrades the integrity of the health care system and legitimate patient care. The fraud can take money away from the Medicare program and leave less available funds for participants or can increase taxes to cover the remainder costs. Directly the fraud affects the patients in which the physicians have made the fraudulent claim on behalf of by copayments made for services never received.
Prevent Health Care Fraud Medicare fraud can be prevented by the following:
• When a health care service has taken place, record the dates.
• Save receipts and statements from providers and check for any inaccuracies. o Compare this information with the Medicare claim processed to ensure no extra charges are annotated.
• Guard Medicare and Social Security Numbers (SSN)
• Do not give medical number or SSN for free medical equipment or services.
Government Prevention The government is also helping to prevent and catch those responsible for Health Care Fraud by the 2009 creation of the Health Care Fraud Prevention and Enforcement Action Team (HEAT). Heats mission is to gather resources across government to help prevent waste, fraud and abuse in the Medicare and Medicaid programs, and crack down on the fraud perpetrators who are abusing the system and costing us all billions of dollars, reduce skyrocketing

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