Medicare Fraud
Medicare Fraud | Ms. Iris Hobson- Introduction to Logic | Atinuke Adumatioge |
Medicare Fraud
Healthcare today is one of the most lucrative businesses in America and many people are trying to take advantage of that. One of the reasons in the transition of street crimes is how much safer it is compared to the drug business. If we take a look at South Florida, we can see hundreds of people living the “high life”. The truth is rarely anybody sells drugs and more than half of those people are involved in healthcare, both legally and illegally. A couple of months ago, several onlookers observed a pharmacy down the street. But unlike the conventional pharmacy, there were no customers seen coming in or out. After about two weeks, the pharmacy closed up and became a warehouse. This became a concern among some of the public because true pharmacies do not fold up without warning. The authorities were notified immediately and this became a sign of Medicare fraud. Medicare is an insurance program administered by the United States government, providing health insurance coverage to people who are aged 65 and over, or who meet other special requirements. The bill was signed by President Lyndon B. Johnson as an effort to promote cheaper medical care for the elderly. Fraud is any criminal activity where one uses deceptive action for personal gain or in some cases, damage to another individual. Therefore, Medicare fraud is where people (i.e. the party involved) deceive patients and the government in order to collect reimbursement from Medicare falsely. Medicare fraud involves using others’ information, namely their social security and their Medicare number to obtain money from the government. It is considered a criminal offense, by law, and can be punished severely, usually by a substantial amount of prison time and fines. Medicare fraud is not a shock to the medical community anymore; it 's becoming more commonplace to steal from the elderly, the disabled, and the
Medicare Fraud
Healthcare today is one of the most lucrative businesses in America and many people are trying to take advantage of that. One of the reasons in the transition of street crimes is how much safer it is compared to the drug business. If we take a look at South Florida, we can see hundreds of people living the “high life”. The truth is rarely anybody sells drugs and more than half of those people are involved in healthcare, both legally and illegally. A couple of months ago, several onlookers observed a pharmacy down the street. But unlike the conventional pharmacy, there were no customers seen coming in or out. After about two weeks, the pharmacy closed up and became a warehouse. This became a concern among some of the public because true pharmacies do not fold up without warning. The authorities were notified immediately and this became a sign of Medicare fraud. Medicare is an insurance program administered by the United States government, providing health insurance coverage to people who are aged 65 and over, or who meet other special requirements. The bill was signed by President Lyndon B. Johnson as an effort to promote cheaper medical care for the elderly. Fraud is any criminal activity where one uses deceptive action for personal gain or in some cases, damage to another individual. Therefore, Medicare fraud is where people (i.e. the party involved) deceive patients and the government in order to collect reimbursement from Medicare falsely. Medicare fraud involves using others’ information, namely their social security and their Medicare number to obtain money from the government. It is considered a criminal offense, by law, and can be punished severely, usually by a substantial amount of prison time and fines. Medicare fraud is not a shock to the medical community anymore; it 's becoming more commonplace to steal from the elderly, the disabled, and the
References: Bennett, M. L. (n.d.). Criminal Prosecutions for Medicare and Medicaid Fraud. AAPS - Association of American Physicians and Surgeons. Retrieved October 11, 2010, from http://www.aapsonline.org/fraud/fraud.htm FBI — Common Fraud Schemes. (n.d.). FBI — Homepage. Retrieved October 11, 2010, from http://www.fbi.gov/scams-safety/fraud/fraud Frieden, T. (2009, June 24). Doctors, health care executives accused of Medicare fraud - CNN. Featured Articles From The CNN. Retrieved October 16, 2010, from http://articles.cnn.com/2009-06-24/justice/medicare.arrests_1_medicare-fraud-health-care-indictments?_s=PM:CRIME Media Properties, LLC.. (n.d.). Law.com - Mafia finding medical fraud easy, lucrative. Law.com - Legal News, Legal Technology, In-House Counsel, Small Firms. Retrieved October 11, 2010, from http://www.law.com/jsp/article.jsp?id=1202465657433 Medicare. (n.d.). Social Security Online - The Official Website of the U.S. Social Security Administration. Retrieved October 11, 2010, from http://ssa.gov/pubs/10043.html Medicare Fraud Detection, Data Mining | StatSoft. (n.d.). Data Mining, Statistical Analysis, Software and Services, Credit Scoring | StatSoft. Retrieved October 11, 2010, from http://www.statsoft.com/solutions/medicare-fraud-detection/ News. (2009, October 25). Medicare Fraud: A $60 Billion Crime - 60 Minutes - CBS News. Breaking News Headlines: Business, Entertainment & World News - CBS News. Retrieved October 16, 2010, from http://www.cbsnews.com/stories/2009/10/23/60minutes/main5414390.shtml Solutions. (2010, July 15). Fighting Medicare Fraud | Medicare Solutions Blog. Medicare Insurance Plans, Medicare Advantage, Medicare Supplemental Insurance and Medigap Coverage. Retrieved October 16, 2010, from http://www.medicaresolutions.com/blog/index.php/2010/07/fighting-medicare-fraud/ WEAVER, J. (2010, July 14). Magnitude of Medicare fraud in South Florida grows - Miami-Dade - MiamiHerald.com. MiamiHerald.com - Miami & Ft. Lauderdale News, Weather, Miami Dolphins & More. Retrieved October 11, 2010, from http://www.miamiherald.com/2010/07/13/1729391/mental-health-rehab-services-on.html