Fraud in many health cares or Medicare systems across the continent has been identified as one of the most challenging problems that have been going on which has greatly negatively affected the delivery of the health services to the people.
Medicare systems mostly includes some of the expenses that may be incurred in getting a medical service. Those who would want to get some medical equipment from a Medicare must show a certificate which must have a signature of a qualified physician, and they must also follow all the steps stated by the Medicare and be ready to adhere to all the rules and regulations of the Medicare systems. Most of the durable medical equipment suppliers usually purchase the medical equipment from some of the medical equipment manufacturers and hence by this middlemen activities some of them might engage in fraudulent activities before shipping this medical equipment to the patients and this mainly makes the patients be at a big risk of being affected by the fraud activities of these middlemen.
Some of the fraud schemes used by the fraudsters in the Medicare systems have been noted by the departments of justice in many countries, and some of them which have resulted in many problems to the patients are discussed below. The first fraud scheme used by the durable medical equipment fraudsters is shipping the medical equipment to the patient without the needed requirements of getting this Medicare service and one of the requirements which these fraudsters do not put into consideration is having the necessary physician order which includes having the certificate of medical necessity of the patient and other patient Medicare benefits. Durable medical equipment fraudsters may also practice fraudulent activities by shipping an excess order to the patients than what was needed or ordered or even supplying the medical equipment that exceeds the required duration of its use or lifespan.
Failing to credit the durable medical equipment that is returned by the patients to the Medicare is another fraud schemes that has been discovered by the department of justice in many countries and this fraudulent activity is practiced by these fraudsters that deal with the shipment of the durable medical equipment to the patients. Many fraudsters intentionally fail to record the right amount of money paid to them by the patients after delivering the durable medical equipment.
The above Medicare fraud schemes practiced by these fraudsters have greatly increased in many nations and have become the jobs to be done by many criminals like thieves to con people. There have been various methods that have been put forward by the governments to help curb and control these Medicare fraudsters for example establishment of some rules and regulations and other bodies like Health Care Fraud Prevention and Enforcement Action.