Is having law enforcement determining what care is medically necessary a good thing ?

Rooting out health care fraud is central to the well-being of both our citizens and the overall economy.

http://www.fbi.gov/about-us/investigate/white_collar/health-care-fraud

Health care fraud costs the country tens of billions of dollars a year. It’s a rising threat, with national health care expenditures estimated to exceed $3 trillion in 2014 and spending continuing to outpace inflation. Recent cases also show that medical professionals continue, and may be more willing, to risk patient harm in furtherance of their schemes. The FBI is the primary agency for exposing and investigating health care fraud, with jurisdiction over both federal and private insurance programs. We seek to identify and pursue investigations against the most egregious offenders involved in health care fraud through our investigative partnerships with federal, state, and local agencies, as well as our relationships with private insurance national groups, associations, and investigative units. Our field offices proactively target fraud through coordinated initiatives, task forces and strike teams, and undercover operations.

2 Responses

  1. One of the reasons it had been strongly recommended that Medicare billing be changed to POS instead of Fee for Service…easier to catch fraudulent claims, such as some of these outrageous quantity billings and and billing for fake patients

  2. More of our medical information floating around. Forget privacy for anyone. It’s just the pain patients that get the discrimination and then there is the pharmacy

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