Oh, it makes me so mad! The idea that people would commit fraud to enrich themselves from our health care system just burns me up. We have this system to help people get needed medical care. This is like robbing a charity — only the stakes appear much larger.
The Orlando Business Journal reported that the Centers for Medicare and Medicaid Services (CMS) is expanding their fraud fighting efforts in Florida. I wish them well. The report stated this will be done by mining claims data. That could be very efficient, but I’m concerned it won’t be adequate to catch wily criminals.
I don’t know how many other doctors would agree with me on this, but it might be good to greatly expand inspections. By that I mean they should have secret shoppers who go into doctors’ offices as patients and record if the services received match up well with the claims the doctor submits to Medicare.
I think the vast, vast majority of doctors are honest and caring and would love to see those who aren’t brought into line or made to face the consequences.