Regarding Medicare, would working towards preventing fraud committed by health care providers significantly reduce costs?

Expert Solution

Yes, working towards preventing fraud committed by health care providers significantly reduce costs.

Here are some simple ways you can protect yourself from health care fraud, and keep health care costs down for everyone:

Protect your health insurance ID card like you would a credit card. In the wrong hands, a health insurance card is a license to steal. Don't give out policy numbers to door-to-door salespeople, telephone solicitors or over the Internet. Be careful about disclosing your insurance information and if you lose your insurance ID card, report it to your insurance company immediately.
Report fraud. Call your insurance company immediately if you suspect you may be a victim of health insurance fraud. Many insurers now offer the opportunity to report suspected fraud online through their Website.
Be informed. Be informed about the health care services you receive, keep good records of your medical care, and closely review all medical bills you receive.
Read your policy and benefits statements. Read your policy, Explanation of Benefits (EOB) statements and any paperwork you receive from your insurance company. Make sure you actually received the treatments for which your insurance was charged, and question suspicious expenses. Are the dates of service documented on the forms correct? Were the services identified and billed for actually performed?
Beware of "free" offers. Is it too good to be true? Offers of free health care services, tests or treatments are often fraud schemes designed to bill you and your insurance company illegally for thousands of dollars of treatments you never received.

Health care fraud is a serious crime that affects everyone and should concern everyone-government officials and taxpayers, insurers and premium-payers, health care providers and patients-and it is a costly reality that none of us can afford to overlook.

jeff jeffy answered 2 years ago

Evaluate approaches health care providers can take to minimize error, reduce risk, and improve communication and...

Evaluate approaches health care providers can take to minimize error, reduce risk, and improve communication and collaboration among providers. Explain how these approaches can improve quality of health care.

Problem 2. Medicare uses various reimbursement systems when paying different types of health care providers. Just...

Problem 2. Medicare uses various reimbursement systems when paying different types of health care providers. Just like any private health insurance plans, thesefinancial arrangements are the foundation of the Medicare edifice, and have profound implications on not only short-term program costs but also long-term fiscalviability of the program. a. In 1984 Medicare introduced the Inpatient Prospective Payment System (IPPS) as an effort to contain growth in hospital costs. Briefly explain how hospital paymentsare capitated under the IPPS. b. Compared to...

Describe the approach used by managed care to reduce health care costs. Has it been affective...

Describe the approach used by managed care to reduce health care costs. Has it been affective at reducing costs? Has it reduced the percentage of GDP spent on medicine?

As a health care manager, how would learning about a fraud or abuse violation in your...

As a health care manager, how would learning about a fraud or abuse violation in your organization make you feel? How would you respond professionally to these violations?

3. How can we reduce U.S. health-care costs? 4. How could we provide health care efficiently...

3. How can we reduce U.S. health-care costs? 4. How could we provide health care efficiently to all of those who do not have insurance and cannot afford to pay for health care? 5. How can the conflict theory of health and illness help to explain the high cost of health care?

Please answer the following questions regarding Health Care Costs and Product Differentiation . Using supply and...

Please answer the following questions regarding Health Care Costs and Product Differentiation . Using supply and demand analysis, explain some of the factors that may have led to rising healthcare costs in the United States from 1960 to the present day. In your opinion, which factor has had the greatest impact? Discuss the two ways that product differentiation affects the demand for the product. Give an original example of product differentiation.

Is the individual mandate important in controlling health care costs? What would you expect to happen...

Is the individual mandate important in controlling health care costs? What would you expect to happen if the individual mandate were removed? Explain.

What economic concept would price transparency lower health care costs cover? So that Patients could save...

What economic concept would price transparency lower health care costs cover? So that Patients could save a lot of money if they shopped around for providers who charge less.

Question