Medicare Fraud

Attached a link to an interesting article published in today's Miami Herald titled " Miami actor, cable station founder arrested in Medicare fraud takedown" highlighting the audacious Medicare fraud activities in South Florida. As a Medicare provider I still don't get it how Medicare works.Whereas I am being scrutinized to justify each and every meagerly claim, asked to submit medical records and evidence for care rendered, the fraudsters are getting away with millions. Why did Medicare(i.e. First Coast) pay millions of dollars without questioning the sudden spike of claims? How is that possible? Who is accountable for these transactions? Shouldn't financial institutions notify the authorities when suddenly millions of dollars appear on newly opened business accounts? How many doctors were paid to refer patients? Who credentialed those fraudulent providers? After so many years of continuous and outrageous Medicare fraud we still haven't learned how to fight these fraudsters. I witness this ongoing fraud with clenched fists in my pocket and growing anger and frustration in my belly. Yours Bernd