Preventing fraud, waste and abuse in Medicare

Running head : PREVENTING FRAUD , WASTE AND ABUSE IN MEDICARE

Preventing Fraud , Waste and Abuse in Medicare

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Preventing Fraud , Waste and Abuse in Medicare

Fraud , waste and abuse prevention in Medicare is a hard task that needs full commitment of those entrusted in it . It should encompass government oversight , key compliances processes , training and disciplinary procedures

For any of these actions to succeed types of fraud , waste and abuse in Medicare should first be understood . Fraud , waste , and abuse include comes in terms

of false claims . It practically means asking the government to pay an item or service that was not or should not be provided . It is an attempt to steal from the government . It is an attempt to defraud the government . False claims include request for payment s for altered , forged prescriptions : Shorting , which entails partially filling the prescription quantity prescribed but at the same time charging for full prescription with no arrangement to pick up the remainder : Submitting the same claim twice or double billed prescription : Claims that are submitted to multiple payers for same prescription : Claiming for a more expensive brand name prescription drug when a generic was dispensed : Prescription of drugs supposedly dispensed as written although they were not : and finally improperly keeping an overpayment (University of Phoenix .n .d

False Claim Act is one of the federal government efforts to prevent this crime . This act prohibits consciously presenting false payment claim to the federal government , forcing someone else (e .g...