Avoid being drawn into billing fraud

January 2010
Healthcare Risk Management;Jan2010, Vol. 32 Issue 1, p5
Health care providers can be drawn unwittingly into fraudulent Medicare billing schemes, with significant liability. Risk managers must take the necessary steps to screen for fraudulent billing and avoid any questionable relationships. ∎ Providers can be liable for vendor-generated fraud. ∎ The appearance of impropriety can be costly, even if no fraud is proven. ∎ Many scams can be detected with a simple visit to the vendor's work site.


Related Articles

  • 38 arrested in Medicare fraud in Florida.  // Medical Device Daily;5/11/2007, Vol. 11 Issue 91, p6 

    The article reports on the arrest of 38 people in the first phase of a targeted criminal, civil and administrative effort against individuals and healthcare companies that fraudulently bill the Medicare program in the southern district of Florida. The arrests are the result of the establishment...

  • Tracking Washington.  // MondayMorning;5/7/2012, Vol. 20 Issue 19, p1 

    The article informs that an investigation by the Medicare Fraud Strike Force in seven U.S. cities has led to charge 107 people with Medicare fraud in a multistate operation, alleging schemes involving about 452 million dollar in false billing. Health and Human Services Secretary Kathleen...

  • Spirit of cooperation pervades rallies against Medicare fraud. Levenson, Deborah // AHA News;03/01/99, Vol. 35 Issue 8, p3 

    Reveals that Medicare billing errors are honest mistakes on the part of hospitals and physicians, according to top government officials at the American Association of Retired Persons (AARP) Medicare fraud-fighting rallies. Remarks from Donna Shalala, secretary of the United States Department of...

  • GP invoice scam.  // GP: General Practitioner;3/31/2003, p10 

    General practitioner Richard Johnson has warned general practitioners to check invoices before paying them after he was billed for a book he had neither ordered nor received. Johnson practice in Halesowen, West Midlands, received an invoice for £.48.99 for the Handbook of Antibiotics from...

  • US Hospital Companies Under Microscope as Costs Targeted.  // MondayMorning;8/13/2012, Vol. 20 Issue 32, p1 

    The article informs about the scrutiny of medical billing practices and medical treatment requirements in the U.S. hospitals by the country's federal government. It states that heart procedures used by the U.S. based non-profit hospital HCA Holdings Inc. will also undergo an investigation by the...

  • Officials to Crack Down on Florida Fraud.  // HomeCare Magazine;Jan2006, Vol. 29 Issue 1, p14 

    The article discusses efforts of state and federal law enforcement officials to prosecute health care fraud perpetrators in South Florida. R. Alexander Acosta, U.S. Attorney for the Southern District of Florida, said that false billings, diversion of drugs and medical equipment and other health...

  • Winning the Gold. Retsinas, Joan // Progressive Populist;Oct2008, Vol. 14 Issue 17, p15 

    The article focuses on Medicare equipment fraud. It states that such fraudulence can be identified by checking the random sample of invoices against physician orders. It tells that by doing so, fraud in Medicare equipment dropped to $700 million in 2006 and gained profitability. It also notes...

  • Remarks on the Medicare fraud initiative and an exchange with reporters. Clinton, Bill // Weekly Compilation of Presidential Documents;3/31/97, Vol. 33 Issue 13, p409 

    Presents the remarks of President Bill Clinton on March 25, 1997 on initiatives to fight Medicare fraud. Health care achievements of the administration; Details of the efforts to prevent Medicare fraud; Law enforcement partnerships made as part of the effort; Importance of such initiatives.

  • MCOs asking, `who they gonna call?'. Wechsler, Jill // Managed Healthcare;Aug97, Vol. 7 Issue 8, p13 

    Focuses on the United States government actions against healthcare fraud. Enactment of the Kennedy-Kassebaum legislation; Expansion on the Department of Health and Human Services' Operation Restore Trust program focused on additional violations of government policies; Inspector General's target...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics