Medicare fraud

Latest Headlines

Latest Headlines

Politics and fraud prevention make an ugly partnership

In reading the  Wall Street Journal's  investigative piece about how politicians influence Medicare fraud investigations, I walked away with two conflicting reactions. The jaded, cynical side of me was not particularly surprised. But another side of me was at least taken aback, if not slightly shocked

Lawmakers call for SSA to do more to prevent physician-assisted fraud

Senate Finance Committee Ranking Member Orrin Hatch (R-Utah) and House Ways and Means Subcommittee on Social Security Chairman Sam Johnson (R-Texas) have calld out the discrepancies between Medicare fraud prevention efforts and the lack thereof at the Social Security Administration.

A story of redemption and the value of self-reporting

Those who read about the  11 south Florida residents charged with defrauding Medicare for more than $25 million were probably just as horrified as the FBI to learn about the details of a case that used more than 1,200 expatriates to fraudulently collect Medicare reimbursement.

New fraud prevention rule gives CMS greater discretion

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule focusing on new safeguards to reduce Medicare fraud. The new rule gives CMS the "ability to deny or revoke the enrollment of entities and individuals that pose a program integrity risk to Medicare."

Miami man pleads guilty in $238M Medicare fraud case

A Miami man who was part of an epic money laundering scheme that totaled $238 million in Medicare funding pleaded guilty to conspiring with his brother to carry out the scheme.

Increase in Medicare payments for house calls raises fraud concerns

From 2006 to 2012, Medicare spending for home-visit services skyrocketed to $268 million--a 40 percent increase. The data has some concerned that a service intended to better assist aging patients with limited mobility is now overrun with fraud.

CMS strengthens oversight of Medicare providers

The Centers for Medicare & Medicaid Services has introduced new "common-sense safeguards" that have removed nearly 25,000 "bad actors" from Medicare, CMS said in a statement today.

Enforcement actions mount in partial hospitalization fraud cases

The operator of community health centers in Louisiana and a patient recruiter for a community mental health center in Texas were sent to prison for their roles in a multimillion-dollar Medicare fraud scheme, the FBI announced. This case is one of many recent fraud prosecutions involving partial hospitalization program services.

To better understand Medicare fraud, ask better questions

People often ask how much Medicare fraud costs. Fraud drives up to 10 percent of the program's annual spending, the Wall Street Journal reported, and since Medicare benefit payments totaled $583...

Health insurance rip-offs come under scrutiny

A pair of editorials last week took up the issue of Medicare and Medicaid fraud, waste and abuse, signifying these problems are becoming a greater focus of public attention and debate.