3 Article/Websites: https://www.fbi.gov/about-us/investigate/white_collar/health
ID: 412370 • Letter: 3
Question
3 Article/Websites: https://www.fbi.gov/about-us/investigate/white_collar/health-care-fraud
https://www.fbi.gov/dallas/press-releases/2015/dallas-based-home-heath-company-owners-and-nurses-charged-for-roles-in-13.4-million-medicare-fraud-scheme
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-Products.pdf
Question: In a narrative format, discuss the key facts and critical issues in the FBI article, Rooting out Health Care Fraud is Central to the Well-Being of Both our Citizens and the Overall Economy and CMS Medicare Fraud & Abuse and Dallas-Based Home Health Company Owners and Nurses Charged for Roles in $13.4 Million Medicare Fraud Scheme. (200 word count)
Explanation / Answer
The articles talks about the need to eliminate health care fraud and how this will help in improving the well being of the U.S. citizens as well as improving the overall economy of the nation. The article provides the context of a home health company in Dallas and two of its nurse employees. The company and the two employees perpetrated a $13.4 million health care fraud by making use of fraudulent claims for home health services.
The fraud was committed by submitting fraudulent claims to Medicare and later on concealing these fraudulent claims.
To protect the interests of the U.S. citizens the need of the hour is to increase accountability and take concrete steps that would help in decreasing the presence of fraudulent providers. To ensure this Medicare Fraud Strike Force was formed. Additionally HHS Centers for Medicare and Medicaid Services are working together with HHS-OIG to eliminate all fraudulent providers.
The need of the hour is also for the consumers to become more pro-active and protect themselves by being aware of their surroundings in medical facilities. Consumers should also safeguard their insurance cards and their benefit information. Lastly consumers should be cautious of any kind of inducements from visiting medical providers.
(202 words).
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