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Medicare Vulnerabilities: Payments for Claims Tied to Deceased Doctors
Senate Committee on Homeland Security and Governmental Affairs Permanent Subcommittee on Investigations
Senate Committee on Homeland Security and Governmental Affairs
Permanent Subcommittee on Investigations
Abstract
From the Senate Committee on Homeland Security and Governmental Affairs, the Permanent Subcommittee on Investigations conducted an investigation into fraud, waste, and abuse in the Medicare program.This report focuses on the payment of Medicare Durable Medical Equipment (DME) claims referencing a prescribing physician who is deceased. The findings for this investigation showed that a substantial amount of paid DME claims (approximately tens of millions) contained UPINs for deceased physicians, with supported case history from Florida. The report also recommended that previously failed attempts by the Centers for Medicare and Medicaid Services in 2002 to stop deceased physician claims should be revisited.
Date
2008-07-09
Document Type
Senate Bipartisan Staff Report
Serial Number
Document Length
27 pages
Congress
110
Relation
DOI
Keywords
Staff Reports, Bipartisan
PAP Major Code
3: Health
PAP Minor Code
324: Medical Liability, Fraud and Abuse