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 facilities and systems are very important to the people because they help them save some of their cash as they help to cover some of the costs that may be incurred in getting various medical services like the delivery of some medical equipment and other health services. 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. Many patients are always put a great risk of fraud by the medical equipment suppliers who mostly act as middlemen supplying these medical equipment from the manufacturers to the patients and also the insurance of Medicare and by acting as a link between the patients and the manufacturers of some of the durable medical equipment the patients can be deceived easily.
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. One the activities practiced by the durable medical equipment suppliers which are considered to a fraudulent activity is the supply of these Medicare services to the patients without the requirements or proper justification of their medical benefits for example lack of a physician order which may include certificate of medical necessity signed by the physician. Many durable medical equipment suppliers in the Medicare systems ship more than the required order of the medical equipment which is a mistake
Failure of recording the amount of durable medical equipment returned by the patients is also another fraudulent activity that has been keenly noted by many departments of justice to try to curb it. Another fraud scheme noted by the department of justice is the intentional misinterpretation of the amount of cash paid to them by the patients.
There has been a great rise or increase of such Medicare fraud schemes that have led to establishment of many crime-related works or jobs that many fraudsters are using to steal money from people. There are some task forces like Health Care Fraud Prevention and Enforcement Action Team that have been put forward by some of the governments to help curb these Medicare fraudsters.