Right now, Medicare fraud costs the government and taxpayers billions of dollars. In order to reduce the occurrence of fraud, the government is stressing prevention practices.

(Reuters) – Healthcare programs are moving away from “pay and chase” and concentrating more on prevention in the battle against fraud that costs the government billions of dollars, U.S. officials told Congress on Wednesday.

Overseers of Medicare and Medicaid are concentrating on preventing “bad actors” from enrolling as service providers in the massive federal programs that provide healthcare to the elderly and poor, Peter Budetti of the Centers for Medicare and Medicaid Services told the Senate Finance Committee.

“Our goal is to keep those individuals and companies that intend to defraud Medicare, Medicaid and (Children’s Health Insurance Program) out of these programs in the first place, not to pay fraudulent claims when they are submitted, and to remove such individuals and companies from our programs if they do get in,” Budetti said in testimony.

Historically the programs would pay claims and… continue reading

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