The Do Not Pay list will include more than just healthcare, but the huge area here is Social Security. Fraud is a big case on everyone’s list and needs both technical and non technical support to enforce. A while back I wrote about the crooks being better billers, why, they don’t see patients and have one focus only – fraud. The link below has a couple of videos and additional information that support this and how some of these folks get by with this stuff.
One area that hit the government in the face too was not connecting NPI numbers of deceased doctors, and there’s also billing done for dead patients too, but the NPI number should have been cross referenced a long time ago but now with infrastructure updates that is going to happen. There were multitudes of claims paid with NPI numbers from deceased doctors.
Probe finds dead doctors used in Medicare Scam
This video is from a short while back from 60 Minutes and he talks about he went about his acts of fraud and how easy it was for him, well until he was caught.
Wow,nice, one of the best read posts so far.
ReplyDeleteWhile eliminating payments to dead physicians should save Medicare money, it won't do anything to improve quality of care
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