It is not the people that actually need medicare that is creating the problem. http://usnews.msnbc.msn.com/_news/2...gest-ever-medicare-fraud-totaling-450-million In Baton Rouge, seven people who ran two community mental health centers are accused of submitting more than $225 million in false claims for mental health services in a scheme that began in 2005 and continued through October. This case alone is one of the biggest ever Medicare fraud cases. Government officials say the defendants from Baton Rouge rounded up drug addicts, homeless people and the elderly and used them to submit false claims for treatment. Baton Rouge...wtf?
This is one incident but fixing all of these issues still won't solve our problem. It would be a good start but our government is ill equipped to even stop this kind of stuff.
I'd never thought about it in those terms. Does put it in a different light. There's a reason Louisiana is notorious for corruption.
225 million in false claims...you know how many people that could help that actually needs it? That was only the BR case. One person may receive around 12,000/year with no kids or hubby. Do the math.
I don't know about that. In areas where the RACs are already in place the medical industry is very serious about policing themselves. My question is why hasn't RACs been rolled out nation wide yet
Recovery Audit Contractors. They get paid a percentage of all overbillings they detect and collect. They brought in 3 billion in the four state pilot region, after reviewing only a year's worth of billings.