Medical Fraud 101

June 21, 2012 · Posted in Insurance · Comment 

Everyone visits a physician. Everybody has to visit the hospital once in a while. These are common facts. Another common fact is that hospital and doctor bills cause a lot of money. Fortunately, medicare exists. Medicare is health insurance that is available for everyone and promises to take care of ones medical bills. It’s a given that they are useful things. The thing is though, some out there don’t just utilize medicare but take full advantage of it. The term here is medicare fraud. Medicare fraud reporting is the duty of every citizen.

What does it have to do with people when fraud against medicare is committed? This is because millions of dollars each year goes to fraud; money that could have been better used on medicare’s members.

How does one define medicare fraud? This is when one’s doctors or pharmacy bills more than they should for a service or equipment. There are instances as well when they are billed for things they did not get. Medicare fraud reporting is a given when the patient discovers this.

So what must be kept in mind to stay away from fraud? When the bill arrives from the physician or pharmacy, this must thoroughly checked to see that everything is in place. If not, he or she should give the doctor or the pharmacy a call. Perhaps it’s an honest mistake. Also, one must keep his or her personal information under wraps for the reason that this can be utilized to commit fraud. After all, fraud is no laughing matter.

Medicare fraud is not something to take lightly. Cash that should have gone to patients is taken away by those who commit fraud and made use of in other things. This is the reason why everyone is required by their morals to do medicare fraud reporting when things seem suspicious. Cash that is stolen from an establishment or the government should have been cash for the use of the needy. What is needed to fight this corruption is being constantly vigilant. In this battle against corruption, everyone must join in.

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The Benefits Of Reporting Medicare Fraud

April 18, 2012 · Posted in Health · Comment 

A lot more people need medical services today, with widespread diseases lurking about. People afflicted by such illnesses, find comfort in knowing that they have Medicare benefits that can help them in these difficult times. This is the purpose why, it is imperative to secure the Medicare system for the benefit of the masses.

A big amount in taxpayer’s money, is lost annually, because of Medicare fraud. This can be avoided and requires a lot of participation from both beneficiaries and medical providers. Medicare fraud is defined as services or supplies that you did not receive, however you were billed for it, and Medicare covered the cost. When you are administered treatment that is not required, this is also thought to be Medicare fraud. Another well known form of Medicare fraud is medical theft identity. In this case, someone uses your personal information and files claims or acquires medical benefits without your knowledge. This can be detrimental to the beneficiary since it can reflect on your credit rating and genuine personal records.

If you think that you’re a victim of Medicare fraud, there are ways that you can follow through to Medicare fraud reporting. First of all, make sure to check your Medical Statement Notices (MSN) and review if there are any questionable items listed. Pay close attention to the dates and services or treatments that are included.

Should there be any dubious items, try to contact your health provider to clarify the issue. In case your health provider or doctor doesn’t assist you in your concern, get in touch with Medicare and report the scenario. You should likewise contact the Department of Health and Human Services Office of Inspector General. Alternatively, if you are scared that your personal data is being misused by another person, you should contact the Federal Trade Commission.

Everyone, doing their own little part, can help a big deal in safekeeping the Medicare system. Keep in mind that you are helping not just yourself but likewise other people might require medical assistance later on.

It is your right to get the necessary medical assistance you require when you need it. Take a look at our website medicare fraud reporting talking about the ways to detect if you are a victim of Medicare fraud.

Stopping Fraud In Healthcare Insurance

November 18, 2011 · Posted in Health · Comment 

The situation of the society is worsening.With the economic crisis and all the financial problems all over the world, people have learned to become more and more corrupt.A lot of people choose to step on other people’s rights for their own personal gains.There are a lot of scams and scoundrels like medicare fraud that deprive essential services to the needy.

Medicare is the federal government’s way of providing healthcare services to the people.Its aims and visions are highly beneficial and very helpful to the society.However, many undesirable elements of society have tried to use this mechanism to earn profit for themselves.They are taking advantage of the trust and sometimes the ignorance of others.It’s sad to think that those who are supposed to protect the people’s interest are the ones who commit such medicare fraud

One of those are medical suppliers.They do it by making patients or physicians sign blank documents or falsified ones.They make it appear that the medicare beneficiary made use of this certain product which is more expensive.Then they would present these papers to the government for refund.They gain something out of giving less or nothing to the beneficiary.

Things get even worse when the physicians and healthcare personnel themselves are the ones committing fraudulent acts.They do this in collaboration with the medical suppliers. What they do is to falsify documents stating that the patient was given this kind of treatment using expensive drugs, when in fact they used the cheaper ones.The government pays them for the value of the more expensive drug.This means that people are not getting the service that they are entitled to.

To stop this people have to be wary of the medicare documents that they are signing.It is also important to report any suspected fraud.Medicare fraud reporting is given due rewards by the government.

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