Based on data from the Government Accountability Office (GAO) and the Office of Management and Budget (OMB), it appears that less than 3 percent of the estimated total of fraudulent payments are proven by a judicial verdict. Some suspected cases are resolved by out-of-court settlements, but much fraud appears to go undetected. Beyond fraud, Medicaid loses billions through improper payments each year. In 2024, Medicaid made improper payments totaling more than $31 billion dollars, the Department of Health and Human Services (HHS) reported. Most of those payments resulted from clerical errors. However improper payments include all types of erroneous payments, including fraud, abusive billing, and waste. The Epoch Times examined data on fraud and improper payments in the Medicaid program and interviewed several current and former staff members including the heads of Medicaid Fraud Control Units across the country.It's errors all around...
Tuesday, February 25, 2025
Medifraud
Why Medicaid has become medical waste:
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