Trust is the primary factor in patient-physician relationships. However, the current system may be subject to fraud. Protecting your personal information must be a primary concern to fight this battle. Billions of dollars’ worth of tax-payers’ money is lost this way and it is up to the public to be alert, avoid and report medicare fraud and abuse, so the parties involved can be cracked down on and the authorities can get a perfect choke-hold on elements that pose a threat to the nation’s medical benefits.
Medicare fraud is when physicians or beneficiaries abuse the Medicare system for their own personal gains. Unnecessary costs to medicare, improper payment or unnecessary medical services are the most common things that lead to fraud. You must always carefully review your medical bills to check for unnecessary products or services being charged. This will allow you to also understand how much was paid by your Medicare or insurance and the amount owed by you. Here are certain provider cases you must beware of –
Medicare abuse is when a medical professional follows unethical medical practices and performs services that are not medically necessary for their own personal gains.
When in suspicion of medical fraud or abuse, you should report it as soon as possible. Agencies such as Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS), the Office of Inspector General, the Federal Bureau of Investigations (FBI), and the Department of Justice are working together to effectively curb and eradicate these instances. To report Medicare fraud and abuse you can –