News :: Medicare Fraud and Abuse: The Most Profitable Healthcare Crime in the U.S.

Medicare fraud and abuse cost taxpayers approximately $60 billion a year. It?s one of the fastest and most profitable crimes in the U.S. The government health insurance program that covers 46 million elderly and disabled Americans is being hijacked by opportunists preying on patients, doctors, suppliers, and lack of oversight of the system itself. According … Continue reading “News :: Medicare Fraud and Abuse: The Most Profitable Healthcare Crime in the U.S.”

Medicare fraud and abuse cost taxpayers approximately $60 billion a year. It?s one of the fastest and most profitable crimes in the U.S. The government health insurance program that covers 46 million elderly and disabled Americans is being hijacked by opportunists preying on patients, doctors, suppliers, and lack of oversight of the system itself.

According to President Obama, Medicare fraud and abuse is fueling enormous federal budget deficits. He recently explained that we could pay for healthcare reform if we could eliminate Medicare fraud, abuse, and waste altogether.

Although completely eliminating Medicare fraud isn?t entirely realistic, curbing the growing crimes could provide healthcare to many more Americans and stop lining the pockets of the individuals, crime rings, and corrupt healthcare providers that steal a huge amount of the half trillion dollars in Medicare benefits each year.

The instances of Medicare fraud and abuse are as diverse as they are widespread. One recent high-profile case involved an Armenian-American crime syndicate that stole patient and doctor identities to setup dozens of fake clinics. The operation, which is one of the largest Medicare fraud schemes in U.S. history, resulted in over $35 million in illegal billings.

In another Medicare fraud and abuse case, nine hospitals in seven states were ordered to pay $9.4 million in fines for keeping patients overnight after undergoing what is typically an outpatient back procedure. The hospitals fraudulently billed Medicare for the unnecessary services. In still another case, eight nurses in Florida carried out an $18.7 million Medicare fraud scam in which they forged patient files to make it appear that they required home health care services that they didn?t need or receive.

Although these are just a few of the many types of Medicare fraud and abuse scams occurring each year, they show the urgent need to be vigilant about preventing Medicare scams. From charging for durable medical equipment (DME) never received to using a deceased doctor?s information to continue to bill patients, common Medicare fraud and abuse schemes include:

* Advertising “free” consultations to patients with Medicare, and then recording and using their private information for monetary gain

* Offering healthcare services or DME for free in return for a person?s Medicare number for “record keeping”

* Setting up fictitious clinics with people impersonating doctors to steal private information and commit medical identity theft is another common Medicare fraud and abuse tactic

* Using real patients? data, but without their knowledge, to steal their identities

* Not adhering to the FTC Red Flag Rules that alert the carriers paying the bills

* Fraudulent billing for a wheelchair, specialized hospital bed, or other DME is also a form of Medicare fraud and abuse

* Falsifying claims for expensive procedures is another common tactic, such as the $5.8 million fraudulent HIV infusion scheme in Miami in which a husband and wife team defrauded Medicare by submitting unnecessary HIV injection and infusion claims

Remember that when fraud happens to Medicare, it happens to all of us. Don?t let your organization become a victim. Put your employees on the front line to spot Medicare fraud by hiring a healthcare fraud and abuse expert that provides “Lunch and Learn” presentations to help avoid, recognize, and respond to Medicare fraud. Visit or call 310.831.4400 to learn how to prevent Medicare fraud and medical identity theft.

Elderly Care :: What is Companion Care?

Whether you are a senior citizen, an expectant parent, a person with physical dis abilities or will be transitioning from a medical stay at a hospital, signing up with a service that provides companion care might be good idea.

Companion care is different form home health care in that they can offer any service that is not medical related. Asking for help with medication reminders or trips to the doctor can be expected, the majority of companion care tasks consists of house cleaning, grocery shopping and running errands.

Another misconception about companion care services is that they only work during set hours. While that may be true for some agencies, many will offer their services at any time you need them. They will work with your schedule. You are not a slave to work within their’s.

When considering a companion care agency, be sure to see if they offer a free in-home consultation. If they don’t, find one that does. Even though all “companions” are screened for your safety, it is still a good idea for you to have a face-to-face meeting with the companion who will be coming into your house every week. You want to make sure that there is no confusion between either you or them regarding on what expectations are made.

The demand for companion care is growing making competition for your business necessary. Make sure you get the best bang for your buck. Create a schedule of regular visits and then when they are to start.

The real benefit of a service that offers companion care, especially to seniors, is building a friendship. While you are not buying a friend, the people who serve in this capacity love being around people. They can play cards with a senior citizen or offer a new mother advice on how to calm down a crying baby. Depending on the needs, they can help assist with bathing, dressing, preparing meals, laundry, running errands, organizing the mail or just calling in from time to time to make sure the client is getting everything they hope to get out of the service.

Just as there are no two people alike, companion care personnel are just as unique as the clients your hire them. The more information you can give about yourself and your needs, the better the match will be.

Don’t sign up with the first companion care agency that is on the list. Be picky. Check for references. Call your friends and family members for suggestions. Call a bunch of agencies to see which one will serve you the best.

Enlist Elderly Home Care Services For Taking Care Of Your Loved One

Looking at a parent who is growing older with each passing month is difficult for any son or daughter who lives in the same house or who visits regularly. You feel pain when you see a loved one declining in health and unable to take care of their home, their personal hygiene or cooking up their next meal. You realize that they can suffer a fall or ill health, get depressed or suffer from Alzheimer?s if they continue to live alone which will make matters even worse. Elderly home care services are available that cater to people who cannot cope with life, when they grieve the loss of a loved one or feel frustrated that they are unable to perform daily tasks on their own.

It is important to learn to express your concerns without accusations or trying to play the ?blame game?. Talk to your loved ones about your wanting to ensure that they are really cared for and your worry about their trying to manage on their own. Before they are incapable of making any decision on their own, you should be able to discuss the positive benefits of enlisting the help of a caregiver, or convince them that they would be well looked after in one of the best home care agencies in Philadelphia. Talk to your parents about the options available and encourage them to get involved in activities where they can meet and interact with a person who cares for them.

It is natural to be worried about your folks safety and wanting to ensure that they get their meals on time and maintain a clean home and surroundings. Personal hygiene is very important as elderly people can easily get ill and contract fevers and colds if they live in miserable conditions. You may have to interview the home caregiver that you enlist from one of the elderly home care services in your area. If you check on the Internet, you will find a complete listing of agencies that provide home care in Philadelphia. It is essential to ensure that the home health aides are experienced in handling the elderly in home settings.

The home health aide should be able to work closely with the elderly. This involves supporting when they bathe, use the toilet or move around in the house. It is necessary for the elderly person to try and be as independent as possible and it is the responsibility of the home health aide to ensure that the home is clean and food is given to the elderly person on time. They may also help to keep the person?s mind diverted by playing board games to keep them occupied pleasantly. There may be several home care agencies in your area. Try to get as much information as possible about the services and agency that you can entrust your loved ones, as they should be comfortable and happy in their old age. They should not feel abandoned or threatened in any way and towards this end, it is important to ensure that they are safe in their home and the caregiver is able to assist them in every way.Article Source: you are worried about a loved one and require elderly homecare services , contact Dynamic Home Health Care who is registered and certified to provide the best home health care Philadelphia

Finding a Trusted Home Care Service

Caring for a relative with medical needs can be a challenge, but with the right sort of assistance it is definitely possible to make sure they are properly cared for. Knowing how to properly address any medical issues that might arise on a day to daily basis is very important, and it should be noted that the failure to do this can result in some pretty big risks. An amazing company being in charge of health care provided within the home can lighten the load being put upon the family. Live in Care Columbus is not always the easiest process to get used to; it is certainly something worth considering if there is a relative in the home who really needs care. Taking the time necessary to go ahead and setup the right type of assistance can be a challenge at first, but in time things should work out just fine.

One of the ways in which a home care service can help is to go ahead and encourage proper medical protocols are followed. If this is not the case then there is always a risk that someone might not receive the proper care, and taking this into account is vital. A professional from Hourly Care Columbus can be attentive in case of an emergency, and if a loved one is sick or needs help otherwise. With all of the different medical conditions out there it is vital to have a company employed in the home who knows how to deal with a number of different needs. Being able to pick up on and address common medical issues as they occur is the sign of a good care provider.

Bearing in mind that the amount of time it takes to respond to a medical emergency can mean the difference between life and death choosing the right home care agency is vital. With all of the different groups out there it should be no problem at all to find one to meet just about any budget or living situation. Of course there are only so many different options someone can go depending on their insurance plan. Picking up home health care coverage before someone becomes ill really is the best way to go, and as someone ages it is important to try and maintain a minimum level of insurance coverage. Without proper coverage there could be some serious financial troubles, so anticipate this need before it comes up.

We comprehend that?taking care of the elderly at home?needs understanding of each unique situation. The intensity of care that each senior requires depends upon their health, financial restraints and preferences and lifestyle. Because of this, our home care plans are bendable and modified to meet the specific needs of your loved one. When it comes to home care, you can feel at peace by knowing that your love one is in good hands. A caregiver should be professional at all times, and must pass a background check before they are hired into our Health Care agency. Finding a trusted Home Care is not hard when you call Home Care Assistance of Columbus.Article Source: Care Assistance of Columbus provides the best care for your senior at home. If you need the assistance of a professional visit our website and call a manager caregiver today.

For Fabulous Home Care, Denver Residents Should Look For A Quality Home Health Aide

Although many aging adults would prefer to stay in their own home, several find that they can no longer take care of certain daily tasks that promote good health. If this is the case for you or a loved one, you may want to consider soliciting the services of a home health aide. Denver seniors can find caring and professional home care. Denver service providers can assist at several different levels so that you can pick and choose which types of help to receive help in those areas that will best meet your needs.

Many senior citizens find that they no longer have the visual accuracy as well as motor skills needed to drive a vehicle safely. If this describes your loved one, it is a simple matter to get that service provided by home care services. Denver aides can drive your senior to the grocery store, doctor visits and other appointments as part of their routine home care. Denver seniors never need to put themselves or others on the road at risk with the help of home health care. Denver nurses aides can also take care of running errands in its entirety, if that works out better for your special senior.

Some elderly people also need assistance with meals. It can become difficult to go out and buy groceries, then get home and cook up a nutritional meal on a consistent basis. When that time has arrived, it is best to seek out home health care. Denver aides can prepare balanced meals, as well as handle clean up duties after the meals are eaten.

If your senior is single, they can get lonely, and thus might like some in home care. Denver service providers enjoy working with seniors and will spend time in conversation, playing games, writing letters or just spending time together as part of your senior’s in home care. Denver seniors will enjoy better mental health and be happier with quality time spent with a provider of home care. Denver adult children of seniors, who cannot be in Denver, will be relieved that there is an exceptional person assisting their parent in this area.

Some seniors require more elaborate home health care. Denver aides can provide round-the-clock assistance, including overnight supervision as part of your senior’s home health care. Denver seniors can also receive help with personal grooming when they receive in home care. Denver elders who need help with eating, hair care, incontinence care, oral hygiene care, as well as help with getting dressed and ambulatory assistance will benefit from help through home care services. Denver seniors will get the aid they need, when they need it.

For more information about home care, Denver residents can find excellent service providers online.

Susan Slobac is a consultant in home care. Susan writes about trends in home care Denver & home health care Denver.