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Fraud Schemes in the Medicare Systems

Many healthcare facilities and Medicare systems in the world have been negatively affected by many fraudulent activities that have always been conducted during the delivery of health services to the required people, and this has made fraud to be a big in the supply of durable medical equipment.

Many of the costs which may be incurred in the supply of medical equipment and the delivery of other medical services may be covered by the Medicare systems. Any person who might have an intention of seeking some Medicare services like getting a medical equipment should first meet any requirement and regulation for a Medicare medical necessity and also have a certificate showing any of his or her medical need which should also be certified by a trained physician through a legal signature. Most of the durable medical equipment suppliers usually purchase the medical equipment from some of the medical equipment manufacturers and hence by this middlemen activities some of them might engage in fraudulent activities before shipping this medical equipment to the patients and this mainly makes the patients be at a big risk of being affected by the fraud activities of these middlemen.

The following are some of the various fraud schemes used by the durable medical equipment suppliers who are fraudsters to the patients.Many fraudsters who supply the medical equipment to the patients deliver the durable medical equipment to the patients before having the required physician notice and order which mainly comprises the patient’s certificate of medical necessity and other patient needs. Durable medical equipment fraudsters may also practice fraudulent activities by shipping an excess order to the patients than what was needed or ordered or even supplying the medical equipment that exceeds the required duration of its use or lifespan.

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Another fraud scheme practiced by the durable medical equipment fraudsters is that they do not inform the Medicare about the durable medical equipment returned by the patients after shipment. Another fraudulent activity done by these fraudsters is the deliberate misinterpretation of the payments made by the patients after shipment of the durable medical equipment where some fraudsters to show the real payment made by the patients.

Many markets which have been associated with criminal activities have emerged due to increased Medicare fraudsters who practice some of the above fraud schemes. There have been various methods that have been put forward by the governments to help curb and control these Medicare fraudsters for example establishment of some rules and regulations and other bodies like Health Care Fraud Prevention and Enforcement Action.

Professionals Tips for The Average Joe

Professionals Tips for The Average Joe