Tag Archives: fraud

Medicare Fraud and Abuse Linked to Patient Deaths and Hospitalizations

PATIENTS TREATED BY PROVIDERS FOUND TO HAVE COMMITTED FRAUD AND ABUSE WERE MORE LIKELY TO DIE, REQUIRE EMERGENCY HOSPITALIZATION Patients treated by health care professionals later excluded from the Medicare program for committing fraud and abuse were between 14 to 17 percent more likely to die than similar patients treated by non-excluded physicians, nurses, and other… Read More »

Digital transformation demands a whole new level oversight to avoid healthcare fraud

The federal government estimates that over $ 36 billion in improper fee-for-service Medicare payments have been racked up and the industry overall is wrought with fraud and abuse. Part of it is the nature of the business, said Paul H. Westfall, Washington Counsel for the American Medical Association.  It’s a very high-transaction and high-volume sector… Read More »