New Report Details Medicare Abuse

Wednesday, 09 Jul 2014 03:07 PM

By Melanie Batley

Share:
  Comment  |
   Contact Us  |
  Print  
|  A   A  
  Copy Shortlink
Medicare paid $1.7 billion in 2010 to clinical laboratories in claims that have since been identified as questionable, a new report has found, highlighting concerns about the healthcare program's vulnerability to abuse.

According to a report by the Department of Health and Human Services' Office of Inspector General, more than 1,000 laboratories showed five or more categories of questionable billing during that year, The Wall Street Journal reported.

The charges in many cases related to routine tests such as blood counts, cholesterol screenings, metabolic panels, and hormone tests, and the report identified that many of the billing practices were questionable, costly, and should be investigated further.

The services lend themselves in part to suspect billing because doctors order the services separately instead of providing them directly, according to Medicare fraud specialists.

"Wherever you've got a set of multiple parties involved in the care of a given patient, you've got an opportunity for the dishonest to make something of it," Bill Mahon, president of Mahon Consulting Group in Great Falls, Va., which helps healthcare payers reduce their exposure to fraud, told the Journal.

Medicare is the nation's largest payer of clinical laboratory services, paying a total of $8.2 billion in 2010 for lab services, the Journal reported. Spending for lab services increased by 29 percent between 2005 and 2010.

Forty-three percent of the labs that had five or more questionable billing measures were located in California and Florida, states known for high rates of Medicare fraud, according to the Journal.

Aaron Albright, a spokesman for CMS, told the Journal that the agency "will continue to utilize all available tools to identify and prevent improper billing practices."


Related Stories:

© 2014 Newsmax. All rights reserved.

Share:
  Comment  |
   Contact Us  |
  Print  
  Copy Shortlink
Around the Web
Join the Newsmax Community
Please review Community Guidelines before posting a comment.
>> Register to share your comments with the community.
>> Login if you are already a member.
blog comments powered by Disqus
 
Email:
Country
Zip Code:
Privacy: We never share your email.
 
Hot Topics
Follow Newsmax
Like us
on Facebook
Follow us
on Twitter
Add us
on Google Plus
Around the Web
Top Stories
You May Also Like

About 100 People in Dallas Area Monitored for Ebola

Thursday, 02 Oct 2014 13:30 PM

About 100 people in Dallas are being monitored for symptoms of Ebola after coming into contact with patient Thomas Eric  . . .

New Yorkers Can Live Like Hizzoner - for $4,975 Per Month

Thursday, 02 Oct 2014 13:27 PM

For those Brooklyn hipsters , and other political junkies , here's your chance to live just like hizzoner. New York City . . .

WashPost: GOP's Pat Roberts Vulnerable to Losing Senate Seat

Thursday, 02 Oct 2014 13:25 PM

Sen. Pat Roberts is facing an uphill battle for re-election, with a number of signs suggesting that the Kansas Republica . . .

Most Commented

Newsmax, Moneynews, and Independent. American. are registered trademarks of Newsmax Media, Inc. Newsmax TV, NewsmaxWorld, NewsmaxHealth, are trademarks of Newsmax Media, Inc.

 
NEWSMAX.COM
America's News Page
©  Newsmax Media, Inc.
All Rights Reserved