Medicare fraud

I saw this article the other day.  I am against true Medicare fraud.  I don’t like any type of fraud.  The problem is that Medicare lumps something called “Medical Necessity” in with fraud.  This inflates the dollar amount involved by an unknown quantity. 

“Medical Necessity” is exactly what it sounds like.  Someone at Medicare decided that the patient did not need the treatment or item provided.  The real problem with this is that the people at Medicare haven’t seen the patient, and have no idea what the patient really needs.  It has been my experience that Medicare is wrong, but you have to appeal these cases to a very high level to prove it.  Based on that, I would consider these cases of Medicare committing fraud (or theft of services) against providers.

So in summary no one should be getting away with fraud.  This includes Medicare.  That’s the way I see it.