Medical Fraud

 Medical fraud in the United State is a general term that means a person or corporation that collects Medicare health care reimbursement on false pretenses.  Moreover, there are a lot of kinds of medical fraud and all of which have the same aim, to collect money illegally.

It is hard to track this fraud since not all is detected and not all suspicious claims turn out to be scams. The Medicare  program  is prone to fraud since  it is based on the ‘honor system’ of billing and originally set up to aid honest doctors who  helped those in need with medical services.

The types of Medicare fraud include phantom billing, patient billing, upcoding unbundling and scheme. Phantom billing is a procedure that are not performed, medical tests that are not performed, equipment that is billed as new but in fact already used. In either case, each form of billing, patient or phantom could be prevented via checking carefully. A patient billing is where one provides his or her Medicare number for kickbacks. Unbundling and upcoding is done by using a billing code that indicates that the patient needs costly procedures. Even other countries, especially in South-East Asia, doctors who over-charge American patients via Medicare charge them higher rates than the actual medical cost in their own countries.