Medicare Fraud
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Medicare is a system of government sponsored health care insurance for most Americans age 65 and over and for many of the nationÆs disabled individuals. Medicare represents one of the federal governmentÆs largest entitlement programs, a fact demonstrated by annual expenditures of more than $200 billion (U.S. GAO, p. 1). The federal government has sought to institute changes in the Medicare system in order to help control the rising annual costs of providing Medicare for the elderly and disabled, costs that Congress believes reflect a significant amount of fraudulent or wasteful claims. In License To Steal, author Malcolm K. Sparrow (2000), a Medicare fraud investigator, argues that up to 50% of all Medicare costs stem from fraudulent charges. Further, Sparrow (p. 39) contends that the monitors for auditing and other controls within Medicare are only concerned with billing processes and procedures and are not aimed at detecting fraud and the lies that support it: ôThe rule, for the thieves in the system, is simple: Bill your lies correctly. Provided they do that, they can rely on the payment systems to process their lies correctly, and pay them.ö Sparrow provides detailed explanations of the political and institutional barriers to undermining fraud that enable thieves to bilk Medicare out of billions of dollars annually. While Sparrow does admit that in order to correct the system on the scale and level needed a great amount of upfront fu
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Some common words found in the essay are:
Malcolm Sparrow, License Steal, HHS Secretary, Insurance Fraudö, Introduction Medicare, Fraud Clarify, Accountability Act, Risk Benefits, medicare fraud, Daniel Hays, Financial Management, health care, medicare system, license steal, fraud abuse, medical boards, health insurance, hhs secretary authorized, licensing boards, lack awareness, scott jeanne, healthcare financial management, health care fraud, insurance fraud caif,
Approximate Word count = 1095
Approximate Pages = 4 (250 words per page)
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