Medicare Fraud

Medicare Fraud

Medicare fraud entails submission of false claims aiming to get public health care payment illegally. It also entails all acts of receiving and offering cash for goods and services subsidized by national health care programs. This has become a great problem this days as less surveillance and follow-up was been doing in the medical sector. A lot of tax payers money is always channeled into health care amenities, this pool of funds have attracted criminals. Selfish individuals commit acts of Medicare fraud to benefit themselves without considering where about of the sick and less fortunate.

Despite there not being an accurate measure of the existence of fraud in health care, the impact of such actions inflicts pressure on taxpayers and puts the wellbeing and health of beneficiaries at risk (Mitka, 2013). With the rapid population growth rate, the menace of Medicare fraud is becoming even more. Corruption and nepotism are some of the main factors encouraging deception in the health sector.  When a person is found guilty of a crime they can easily bribe themselves out of whatever trouble they were in. As a result, they continue with fraud but this time they are more cautious on not being caught. 

To reduce abuse, fraud, and waste in the Medicare program employees in the sector have to be vetted and be held accountable for their work. In so doing integrity will be promoted and taxpayers money used as required (“Medicare and Medicaid Fraud and Abuse and Its Effect on Exemption,” 2013). Additionally, citizens are supposed to protect their personal information to avoid it from landing into unauthorized hands. Hospitals should employ the best and latest digital systems in storing, retrieving and disseminating data. Tough penalties should be passed on t o those found in fraud or embezzlement if the Medicare department.


Medicare and Medicaid Fraud and Abuse and Its Effect on Exemption. (2013). The Law of Tax-Exempt Healthcare Organizations, 803-812.

Mitka, M. (2013). Medicare Fraud. JAMA309(2), 126.

United States. (2002). Medicare fraud and abuse: DOJ continues to promote compliance with False Claims Act guidance.

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