Hospital Billing Fraud

Right now, there is a lot of fraud for billing insurance companies, medicaid, and medicare for procedures that were not done or were not needed. Insurance companies spend 20-30% of their revenue making sure the procedures ordered are valid.

If all medical professionals were on a fair plan of compensation instead of making a profit from procedures that they billed the incentive to commit fraud or order unnecessary procedures would be totally eliminated, wouldn’t it?

Then, evaluate them and compensate them on whether they are making their patients healthier or not.

Doesn’t this make sense?
Vastright, I used medicaid and medicare in my example. The problem is in the way people are compensated. We use private doctors to run a government funded program and they abuse it. If they were salaried government workers they would have no what of profiting from cheating.
Medicaid and medicare are the most efficient health care programs we have. But they are still subject to abuse for the reasons I have given.

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In California alone, Law Enforcement suggest Russian/Armenian organized crime is the primary fault of the budget problems in health care. Hundreds of illegitimate doctors are collecting money from Insurance companies for work on patients that do not even EXIST!

Right Wingers claim the strain on health care strains from below the border. But the cost on our economy of an illegal immigrant is nothing when a small crew on average can defraud the government of 10 million a year!

What can we do about this and what changes in Immigration do we need to implement to prevent foreign criminal organizations from committing such damage to our system. Also what can local governments do to crack down on damages caused by such levels of fraud!

http://da.co.la.ca.us/mr/040408a.htm

http://losangeles.fbi.gov/dojpressrel/pressrel08/la091808usa.htm

medical claims and billing