Here’s How Hospitals Cheat Medicare, And Why They Should

Quick quiz. What should doctors do when they recognize that a hospitalized patient is ready to go home? If you answered: “discharge the patient,” you haven’t spent time working ...

A solution to Medicaid’s chronic fraud problem

The Obama administration just announced that fighting Medicaid fraud is going to be a “key priority” for the final year of the president’s term. That’s a tall order. Last year, ...

Doc Convicted Of $7M Medicare Fraud Through False Diagnoses

A federal jury on Tuesday found a Florida ophthalmologist guilty of collecting $7.1 million from Medicare after treating patients for retinal diseases they didn’t have. The jury found ...

Medicare Paid for $30M in Mystery Ambulance Rides, Report Finds

Medicare paid $30 million for ambulance rides for which no record exists that patients got medical care at their destination, the place where they were picked up or other critical ...

Medicare Could Do More to Stop Duplicate Payments to Providers

Medicare managers’ ongoing efforts to avoid duplicate payments to health care providers could benefit from improvements to post-payment reviews by contractors, a recent audit found. The ...

Oakland medical supply company owners sentenced for Medicare wheelchair fraud

Two medical equipment supply company owners and an associate were sentenced in federal court in Oakland earlier this week to prison terms for their roles in a $1.6 million Medicare ...

Patient Recruiter Guilty In $205M Medicare Fraud

A South Florida man pleaded guilty in a $205 million Medicare fraud scheme. Former Network Resource Consultant Inc. chief Michael Mendoza pleaded guilty to health fraud conspiracy ...

What could we buy with Medicare’s wasted billions?

Examining the cost of too much care

One doctor served prison time for health care fraud. Another has been disciplined by regulators five times, on charges including dangerous overuse of anesthesia. A third devotes his ...

The Financial Cost of Healthcare Fraud 2014

Fraud and Error Costs Global Healthcare Sector $487 Billion (£313 Billion) Per Year Since 2008 global average fraud and error losses in healthcare have risen 25% from 5.59% of expenditure ...
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