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Medicare Fraud Sweep Results In 107 Arrests

05/03/12

  12:43:41 pm, by MedBen5   , 207 words,  
Categories: News, Health Plan Management

Medicare Fraud Sweep Results In 107 Arrests

One positive outcome of the health care reform law that’s hard to dispute: a heightened effort to crack down on Medicare fraud. Last year, the federal government recovered a record $4.1 billion in fraudulent health care payments. And yesterday, the Obama administration announced that a new Medicare fraud sweep resulted in 107 arrests for schemes involving a total of $452 million in false claims.

According to The Wall Street Journal, nearly half of that total was perpetrated by just seven individuals in Louisiana over six years. They were accused of signing up elderly, mentally ill and drug-addicted patients for mental-health services that were never rendered or were medically inappropriate.

The WSJ also notes that the “departments of Justice and Health and Human Services… say they are trying to shift their focus to stopping the government from paying false claims rather than trying to recover the money later.”

MedBen has a similar vigilance to uncover fraud as early as possible. Our Anti-Fraud Unit reviews questionable claims, and other related information, to help conserve plan assets. Additionally, claims examiners are trained to refer potentially fraudulent claims to their departmental manager.

If you’d like to learn more about our anti-fraud measures, contact Vice President of Sales & Marketing Brian Fargus at (888) 627-8683.

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