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A new editor has raised a concern that our current treatment of durable medical equiptment places undue weight on a certain aspect of Medicare fraud. They said at their user talk page:
Rabuda here. I don't know if this is the correct place to put this, but what follows is a quote and link to a statement by Lewis Morris, Chief Counsel, Office of Inspector General, U.S. Department of Health and Human Services (HHS) on Reducing Fraud, Waste, and Abuse in Medicare – before Committee on Ways and Means, Subcommittee on Health Subcommittee on Oversight, United States House of Representatives, revised: April 19, 2011, which underscores the point I was making. “Health care fraud also migrates: as law enforcement cracks down on a particular scheme, the criminals may shift the scheme (e.g., suppliers fraudulently billing for DME have shifted to fraudulent billing for home health services) or relocate to a new geographic area. To combat this fraud, the Government’s response must also be swift, agile, and organized.” http://www.hhs.gov/asl/testify/2010/06/t20100615c.html
Also, here is a link and quote from NPR transcript from "Miami Serves As Model In Medicare Fraud Crackdown," NPR, Published: February 23, 2010, by Greg Allen. "But Medicare fraud schemes shift rapidly — in location and also in the part of the Medicare program they target. One of the first popular scams focused on durable medical equipment such as wheelchairs and walkers. Later, fraud perpetrators moved to HIV infusion clinics and, most recently, home health care." http://m.npr.org/news/Health/123568789?page=2. Rabuda ( talk) 23:08, 19 August 2011 (UTC)
There was an HHS strike force round up earlier this year that targeted "doctors, nurses, health care company owners and executives, and others" for fraud involving "various medical treatments and services such as home health care, physical and occupational therapy, nerve conduction tests and durable medical equipment." [1] I think that reflects the current, broad scope of anti-fraud efforts and arrests, and it doesn't make sense to single out durable medical equipment in the way the article is currently written, and it's certainly misleading to illustrate the whole piece with the wheelchair photo, so that needs to be deleted. Also, the end of the second paragraph of the existing article is not supported by the facts cited. You can't conclude from the information cited that there is 9 percent "waste" in Medicare. It may be 9 percent, or higher, or lower, but "improper payment" is not the same as fraud or waste. If there is data from Dept of Justice, FBI, or HHS saying there is 9 percent waste, fraud, or abuse in Medicare, that's fine. Otherwise, it's unsupported speculation. Rabuda ( talk) 04:00, 22 August 2011 (UTC)
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A new editor has raised a concern that our current treatment of durable medical equiptment places undue weight on a certain aspect of Medicare fraud. They said at their user talk page:
Rabuda here. I don't know if this is the correct place to put this, but what follows is a quote and link to a statement by Lewis Morris, Chief Counsel, Office of Inspector General, U.S. Department of Health and Human Services (HHS) on Reducing Fraud, Waste, and Abuse in Medicare – before Committee on Ways and Means, Subcommittee on Health Subcommittee on Oversight, United States House of Representatives, revised: April 19, 2011, which underscores the point I was making. “Health care fraud also migrates: as law enforcement cracks down on a particular scheme, the criminals may shift the scheme (e.g., suppliers fraudulently billing for DME have shifted to fraudulent billing for home health services) or relocate to a new geographic area. To combat this fraud, the Government’s response must also be swift, agile, and organized.” http://www.hhs.gov/asl/testify/2010/06/t20100615c.html
Also, here is a link and quote from NPR transcript from "Miami Serves As Model In Medicare Fraud Crackdown," NPR, Published: February 23, 2010, by Greg Allen. "But Medicare fraud schemes shift rapidly — in location and also in the part of the Medicare program they target. One of the first popular scams focused on durable medical equipment such as wheelchairs and walkers. Later, fraud perpetrators moved to HIV infusion clinics and, most recently, home health care." http://m.npr.org/news/Health/123568789?page=2. Rabuda ( talk) 23:08, 19 August 2011 (UTC)
There was an HHS strike force round up earlier this year that targeted "doctors, nurses, health care company owners and executives, and others" for fraud involving "various medical treatments and services such as home health care, physical and occupational therapy, nerve conduction tests and durable medical equipment." [1] I think that reflects the current, broad scope of anti-fraud efforts and arrests, and it doesn't make sense to single out durable medical equipment in the way the article is currently written, and it's certainly misleading to illustrate the whole piece with the wheelchair photo, so that needs to be deleted. Also, the end of the second paragraph of the existing article is not supported by the facts cited. You can't conclude from the information cited that there is 9 percent "waste" in Medicare. It may be 9 percent, or higher, or lower, but "improper payment" is not the same as fraud or waste. If there is data from Dept of Justice, FBI, or HHS saying there is 9 percent waste, fraud, or abuse in Medicare, that's fine. Otherwise, it's unsupported speculation. Rabuda ( talk) 04:00, 22 August 2011 (UTC)
Hello fellow Wikipedians,
I have just modified one external link on Medicare fraud. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes:
{{
dead link}}
tag to
http://www.medicarebenefits.com/recent-medicare-fraud-scams/When you have finished reviewing my changes, you may follow the instructions on the template below to fix any issues with the URLs.
This message was posted before February 2018.
After February 2018, "External links modified" talk page sections are no longer generated or monitored by InternetArchiveBot. No special action is required regarding these talk page notices, other than
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have permission to delete these "External links modified" talk page sections if they want to de-clutter talk pages, but see the
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source check}}
(last update: 18 January 2022).
Cheers.— InternetArchiveBot ( Report bug) 09:33, 24 January 2018 (UTC)