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Originally Posted by golfing eagles
Trust me, if you worked as a provider of medical services, you would never consider their fraud department "a joke". I wonder on what basis people make posts like this.
I will state this, however----they spend way too much money to uncover the amount of fraud that they recover. I could find 10x as much fraud with 5% of their budget---it's very easy with the data they have. Just print out a list of non-institutional providers that bill Medicare/Medicaid the most and work the list top down. I assure you a solo private medical practice that bills Medicare 50 million/year or a small private lab that bills $100 million is committing fraud. At times it seems they work harder to recover $11.95 in overcharges.
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The basis for my post is being employed as an Inspector General for the Federal Government for more than 20 years. There is so much fraud within the Federal Government, including Medicare, that you don't need to set up a fraud department to find it. Just read some IG reports. Fraud is extremely easy to find, but the hard part is getting people, who control the spending, to eliminate it. In my opinion, the primary purpose of their Fraud Department is for publicity to fool people into thinking they are fighting fraud. I even remember several years ago when Medicare paid for a television ad campaign to promote their supposed efforts to expose fraud.