It’s a crime that requires no guns. It frequently goes unnoticed until after the fact, and the victims are unwitting U.S. taxpayers duped to the tune of $68 billion a year. Medicare fraud has become one of the most profitable illegal activities in the country — and South Florida is the most likely place to get fleeced.
A ProPublica investigation earlier this month looked at how Medicare providers charged for their services in 2012 and found unusual billing patterns among a number of Florida care providers.
On average, most providers only charged for the most complex, expensive level of care during office visits about 4 percent of the time. But in Florida, nearly 100 Medicare providers with relatively high volume billed at the most expensive rate 100 percent of the time.
By Charles Ornstein and Ryann Grochowski Jones -- ProPublica
Office visits are the bread and butter of many physicians’ practices. Medicare pays for more than 200 million of them a year, often to deal with routine problems like colds or high blood pressure. Most require relatively modest amounts of a doctor’s time or medical know-how.