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Federal program cracks down on Medicare fraud in Houston

14. July 2009 04:48

A federal program targets Medicare fraud in the Houston area as news of three cases representing at least $35 million in false claims emerged within the past week.

The Houston Chronicle reports on the three cases, noting: "These Houston-area scams alleged in two FBI complaints and one Montgomery County indictment were among six reported nationally in a single week - representing at least $285 million in false billings, records showed. 'This is an astounding amount,' said Houston's FBI spokeswoman Pat Villafranca.

The $285 million is more than four times the amount stolen during robberies of U.S. banks during all of 2008, she said. This month, Houston became the fourth metropolitan area - joining Miami, Los Angeles and Detroit - to create a ramped-up fraud strike force. It goes by the acronym "HEAT," Health Care Fraud Prevention and Enforcement Action Team."

The Chronicle reports: "Using cutting-edge technology, the strike force can identify Medicare irregularities at unprecedented speeds, completing in days what used to take months. The strike force harnesses resources from the Justice Department, U.S. Health and Human Services and law enforcement. ... While politicians argue over health care reform, U.S. Sen. John Cornyn, R-Texas, said the estimated $60 billion loss in Medicare fraud each year must be addressed first. He said these losses could speed the collapse of the Medicare fund, which is projected to be insolvent in eight years. He has introduced a bill that calls for a 'real-time surveillance program' to monitor claims" (Horswell, 7/12).


http://www.kaiserhealthnews.orgThis article is republished with kind permission from our friends at The Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery of in-depth coverage of health policy developments, debates and discussions. The Kaiser Daily Health Policy Report is published for Kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. Copyright 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

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7/28/2009 8:58:49 PM #

aboy kamkam

The issues in Medicare fraud in the US is rampant. Does this mean the security measures are slim or that they only discover after payments are made? The government has to answer these questions first though these are regular questions asked frequently regarding these issues. Secondly the seems to be some bias in reporting these cases. For the Americans who are involved in these fraudulent schemes, there seems to low publicity of the stories and for the Nigerians and other foreigners it is blown out of proportion. Until the authorities become objective, the won't be a solution in sight. It's bad already but what can they do when Democrats are shooting down attempts to amend the laws and processes and even Republicans are worse in attitude. The Republican planted this very evil solution and now they want to use it to discredit the current government. America must wake up to objectivity both in approach and design for the good of the world.

aboy kamkam Norway | Reply

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