Home Health Care Fraud Medicare

Medicare Abuse

Here are examples of Medicare abuse:

• Excessive charges for services or supplies
• Routinely submitting duplicate claims
• Improper billing practices such as:
  • Exceeding the limiting charge
  • Billing Medicare at a higher fee schedule rate than for non-Medicare patients
  • Routinely submitting bills to Medicare when Medicare is not the beneficiary’s primary insurer
  • Collecting more than 20 percent coinsurance or the deductible on claims filed with Medicare
• Breach of the Medicare participation or assignment agreements
• Claims for services that are not medically necessary