Just the RAC Facts: Controversial Program Roots Out Fraud, Waste in Medicare

Published: Mon, 09/30/13

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Medical Coding News

Hi ,

Here are the facts: Medicare is one of the largest insurance
programs in the United States, and every year it helps insure more
than 49 million seniors and other beneficiaries. And, for a variety
of reasons, its prognosis is anything but certain; estimates
indicate that Medicare will be bankrupt by 2026.

Contributing factors include an aging baby-boomer population,
technological advances in treatment that increase costs, as well as
new legislation designed to reduce entitlement expenditures while
increasing physician fees.

Further compounding the program's grim diagnosis is the amount of
waste, fraud, and abuse both on the individual and organizational
provider levels. Recent overhauls in health care legislation have
put in place significant reform programs that aim to curb every
aspect of abuse or improper payments in the program, but these
programs have only scraped the tip of the iceberg.

At the same time, in a move that is either perplexing or not at all
surprising--depending on your perspective--political pressure from
providers and hospitals is mounting against programs with proven
success in cracking down on waste, fraud, abuse, and improper
payments, all while Medicare limps through its yearly checkups.....

Read more...

http://medicalcodingnews.org/?p=2052

Sincerely,
Marci Miller

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