Were you aware that you have an crucial role to play in stopping healthcare fraud?

By Elzea McClintock


So what is health-care crime and the seriousness of reporting medicaid fraud to the right authority?

Health-care crime is wretchedly commonplace in the current day's times. Healthcare fraud is committed when a buyer or provider purposefully submits or causes someone else to submit misleading or fake information for use in the determination of the amount of heath care benefits that are payable. It is a crime that raises the cost of health care for the people living in the society.

Billions of greenbacks are wasted every year due to health fraud, and unhappily it is the taxpayers who pay. They pay twice in fact. First they pay their taxes which are allocated to fund administration programs like Medicare and Medicaid.

Then they pay again when the funds are wasted due to crime and the govt. has to raise taxes to cover the loss. It's not fair, and we should all be anxious. Fortunately there are now 1 or 2 laws which make it far easier to catch the villains. Average people can report crime to the right authorities with the aid of a qui tam lawyer which helps the governing body police criminals.

Health care crime is unsatisfactory. It is just wrong. Nothing is right about inflating heath care bills to make sure that a larger amount of benefits becomes available to someone than he has a right to.

Here are some instances of supplier medical care fraud to help you better understand it:

- Billing for services which hasn't been used.
- Misstatement of procedures that are not covered by the insurance corporations, for example showing cosmetic surgery as appendicitis operation.
- Unbundling or a process which shows the billing done for the varied steps of the same procedure in a way that shows all of the steps separately, thus increasing the money due.
- Writing off the deductibles and patient co- pays and thus submitting a bill that overcharges the benefit plan or the insurance corporation.




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