Doctor charged with health care fraud

Doctor charged with health care fraud

News and Commentary
Doctor charged with health care fraud - Wsmv.com - Wed Mar 17, 07:24 am GMT [News4Sites Healthcare] A Nashville, TN doctor has been charged with Medicare fraud. This is a little reminder that healthcare fraud is everywhere, not just in New York, New Jersey, Florida and California. As more claims are submitted electronically (particularly in a growing trend of web-based claim submission), it is not even necessary for criminals committing fraud to live in the same state as the agency they are defrauding. As New York, New Jersey, Florida and California get better at finding fraud, you should expect fraud to be exported to other areas of the country. It is easier for criminals to continue using the same scams with different targets that to come up with new scams. Of course, no matter where you’re located, you’re going to have some healthcare providers who are just greedy. They exploit the rules in order to make more money without doing more work. Insurers, HMOs, Medicare and Medicaid can use pre-processing edits and post-payment algorithms to find this kind of cheating.