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Medicare Fraud in Homecare and Nurse Registry Business.

Prevention of fraud in medicare, medicaid decreases the cost in operating a healthcare business.

December 2, 2010. | HomecareBusinessGuide Staff Writer

Fighting medicare and medicaid fraud is job for everyone, everybody who are involve in the healthcare business as well as regular citizens needs to be in a look out for medicare and medicare fraud in the homecare, nurse registry, nursing agency and hospital environment.

Homecare Consultants claims that the estimated fraudaulent transactions in the homecare, whether non medical or medical is in millions. Consultants claim that up to $100 million dollar are paid each year in a false and fraudaulent claim agains the United States Goverment . These false billings are on purpose, the services not provided by homecare, nursing agency, nurse registry agencies. A simple tracking done by the homecare beneficiaries from the homecare services provided is an extremely important tool in alleviating the fraudalent claims by the home care industry.

Different types of Medical fraud claims includes:

  • Receiving bills from the homecare agency for services that you never receive.
  • Equipment claims that for services or equipment never used or receive.
  • Different equipments that were billed.
  • Identity theft where use of another persons medicare or medicaid care card were used for your services.
  • Double billing or billing medicare and medicaid for home medical equipment after it has been returned.

How to detect medicare fraud in the homecare industry.

  • When a homecare services provider claims that the laboratory test and services are free and they just want your medicare or medicaid number for record purposes.
  • When an homecare services provider wants you to have the item or services even when you do not needed it.
  • When they run more services and laboratory test than necessary and claims they are cheaper when more test and services are done.
  • When they claim its FREE.
  • When they give you monetary compensation or gifts.
  • Homecare providers charges co-payments for laboratory test and other medicare and medicaid covered services.
  • False advertising such as free services, free lab test, and free consultatations
  • Highly pressurerized sales technique to get you to sign a homecare services.

Upon suspicions of fraudlent claims by the homecare services provider, it must be reported right away to prevent further prevent ongoing claims that are false. When you receive a bill, a payment notice from Medicare, Medicaid or Insurance industry, review it for errors. Make sure that Medicare, Medicaid, and your insurance are not billed for services or equipments that you did not receive.

Healthcare fraud, whether medicare, medicaid or private insurers increases healthcare cost it affects everyone. To decrease healthcare cost, everyone must do their job in detecting, prevention of all false claims by the homecare, nursing agency, nurse registry business.


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