Talk about a real pain in the rear…

January 22, 2007 at 12:26 pm Leave a comment

I need to share this article featured in This Week in Corporate Compliance published by the Health Care Compliance Association (HCCA).   You can’t make this stuff up!

On November 7, USA Today reported that Medicare investigators in
Los Angeles, using sophisticated computer technology to sift through claims data, saw an unusual pattern: A single patient had apparently undergone a diagnostic rectal-probe procedure 118 times in a year — at 21 medical facilities.” For more:  http://www.usatoday.com/tech/news/computersecurity/2006-11-06-medicare-usat_x.htm?POE=TECISVA

Was it the fraudster’s sense of humor that led them to claim rectal-probes, a procedure that draws immediate smirks?  Or was it the historical lack of oversight in the audit process of  Medicare/Medicaid reimbursements that led them to believe that no matter how outrageous a claim, they would be successful at perpetrating this crime?  It’s good to know that our tax dollars will never be hijacked again by these folks…. or will they?

– Andy Monin

Entry filed under: Uncategorized.

Let’s make it simple. 6 Degrees of Kevin Bacon

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