National Medicare-Medicaid Payment Summit

This just out:  The First National Medicare-Medicaid Payment Incentives and Penalties Summit, www.MedicareMedicaidPaymentSummit.com, will be held on May 30 – June 1, 2012 at the Hyatt Regency Crystal City in Washington, DC. What it is and how to participate: An outcome-based rather than an output-based compliance review program A Hybrid Conference and Internet Event The Leading [...]

Entries from the Medicare Fraud File

In an earlier article on this blog, we presented examples of possible Medicare fraud schemes as identified by the U.S. Department of Health and Human Services (HHS).  The point was clear: fraudsters prey on the vulnerable and lure people in with the promise of “painless” financial reward.  These fraudsters create a façade of legitimacy and [...]

U.S. Health Care Fraud Prevention and Enforcement Efforts

Directly or indirectly, we all have heard of fraud in the system that is designed to cater to the health of Americans.  Few of us are aware of the magnitudes of the fraud and the greed of the perpetrators.  It turns out that the schemes often involve millions of dollars of fraudulent charges to health [...]