Understanding More about Fraudulent Activities in Medicare Systems
The delivery and supply of many medical pieces of equipment and other medical services have been greatly affected by increased fraud in many health care facilities and other Medicare facilities like hospitals.
Medicare facilities and systems are very important to the people because they help them save some of their cash as they help to cover some of the costs that may be incurred in getting various medical services like the delivery of some medical equipment and other health services. Any person who might have an intention of seeking some Medicare services like getting a medical equipment should first meet any requirement and regulation for a Medicare medical necessity and also have a certificate showing any of his or her medical need which should also be certified by a trained physician through a legal signature. Many patients are always put a great risk of fraud by the medical equipment suppliers who mostly act as middlemen supplying these medical equipment from the manufacturers to the patients and also the insurance of Medicare and by acting as a link between the patients and the manufacturers of some of the durable medical equipment the patients can be deceived easily.
Some of the fraud schemes used by the fraudsters in the Medicare systems have been noted by the departments of justice in many countries, and some of them which have resulted in many problems to the patients are discussed below. The first fraud scheme used by the durable medical equipment fraudsters is shipping the medical equipment to the patient without the needed requirements of getting this Medicare service and one of the requirements which these fraudsters do not put into consideration is having the necessary physician order which includes having the certificate of medical necessity of the patient and other patient Medicare benefits. Many durable medical equipment suppliers in the Medicare systems ship more than the required order of the medical equipment which is a mistake
Failure of recording the amount of durable medical equipment returned by the patients is also another fraudulent activity that has been keenly noted by many departments of justice to try to curb it. Many fraudsters intentionally fail to record the right amount of money paid to them by the patients after delivering the durable medical equipment.
The above Medicare fraud schemes practiced by these fraudsters have greatly increased in many nations and have become the jobs to be done by many criminals like thieves to con people. There have been various methods that have been put forward by the governments to help curb and control these Medicare fraudsters for example establishment of some rules and regulations and other bodies like Health Care Fraud Prevention and Enforcement Action.