The US government expects to recover more than $3 billion in health care fraud and waste from health insurance plans in fiscal year 2023. Approximately $348 million of this amount was improperly obtained for allegedly providing telemedicine care.
The US government expects to recover more than $3 billion in health care fraud and waste in fiscal year 2023. Last year, federal authorities announced the return of an even larger amount – $4 billion for the 2022 fiscal year, Healthcare Dive reports.
Thanks to investigations into fraud and misuse of funds from Medicare, Medicaid and other government health programs, the federal government intends to return more than $3.44 billion to the budget in fiscal year 2023. We are talking about billing for unnecessary medical procedures (in particular, unnecessary laboratory tests) and unreasonably prescribed medications, “prescriptions,” provision of low-quality and unsafe medical services, etc.
Recently, supervisory authorities have identified a new fraudulent scheme related to remote health monitoring, MV reported. Attackers contact people insured under the Medicare program and offer to connect them to such a service. Once they have the patient’s data, they begin regularly billing insurers for services they do not actually provide.