Unique Skill ID: KS126C0621XCRW02G0KX

Medicare Fraud

Medicare fraud is a specialized skill that involves intentionally billing Medicare for services or products that were not provided, billing for higher-priced services than those actually provided, or performing unnecessary medical procedures. It can also involve falsely certifying patients as eligible for Medicare or referrals to other healthcare providers. Detecting and investigating Medicare fraud requires specialized knowledge of healthcare and Medicare regulations as well as the ability to analyze data and identify patterns of fraud. Prosecuting Medicare fraud requires a multidisciplinary approach involving law enforcement, government agencies, and healthcare professionals.

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