Many healthcare facilities and Medicare systems in the world have been negatively affected by many fraudulent activities that have always been conducted during the delivery of health services to the required people, and this has made fraud to be a big in the supply of durable medical equipment.
Many of the costs which may be incurred in the supply of medical equipment and the delivery of other medical services may be covered by the Medicare systems.For any patient to fully qualify for a proper Medicare service the patient must be having a certificate that is signed by a fully qualified physician and the certificate must show that the patient is in need of medical attention and also the patient must meet any requirement of the Medicare for any medical equipment. Most of the durable medical equipment suppliers usually purchase the medical equipment from some of the medical equipment manufacturers and hence by this middlemen activities some of them might engage in fraudulent activities before shipping this medical equipment to the patients and this mainly makes the patients be at a big risk of being affected by the fraud activities of these middlemen.
Some of the fraud schemes used by the fraudsters in the Medicare systems have been noted by the departments of justice in many countries, and some of them which have resulted in many problems to the patients are discussed below.Many fraudsters who supply the medical equipment to the patients deliver the durable medical equipment to the patients before having the required physician notice and order which mainly comprises the patient’s certificate of medical necessity and other patient needs. The other fraud scheme practiced by the durable medical equipment fraudsters is delivering more of the medical equipment than the amount which is needed or which is ordered which exceed the lifespan of the medical equipment.
Failure of recording the amount of durable medical equipment returned by the patients is also another fraudulent activity that has been keenly noted by many departments of justice to try to curb it. Another fraudulent activity done by these fraudsters is the deliberate misinterpretation of the payments made by the patients after shipment of the durable medical equipment where some fraudsters to show the real payment made by the patients.
The above Medicare fraud schemes practiced by these fraudsters have greatly increased in many nations and have become the jobs to be done by many criminals like thieves to con people. There have been various methods that have been put forward by the governments to help curb and control these Medicare fraudsters for example establishment of some rules and regulations and other bodies like Health Care Fraud Prevention and Enforcement Action.