Understanding Medicare & Medicaid Fraud: Key Examples and Insights

Medicare and Medicaid fraud involves illegal practices like billing for unprovided services, unnecessary tests, and receiving ineligible benefits, costing taxpayers over $146 billion annually. Fraud can be committed by medical professionals, facilities, patients, or impersonators. Medicaid Fraud Control Units investigate these cases across all states and territories. Penalties include fines, prison, and loss of benefits. The CARES Act expanded coverage and telehealth flexibility for COVID-19.

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