Becker's Healthcare February 9, 2024
Rylee Wilson

An alleged fraud scheme uncovered by the National Association of Accountable Care Organizations could be costing Medicare $2 billion, The Washington Post reported Feb. 9.

Data from the National Association of ACOs recorded a massive spike in Medicare claims for catheters among seven medical equipment companies. In two years, the companies went from billing 14 patients for catheters to nearly 406,000.

According to the report, patients’ insurers were billed for catheters that they never ordered or received. In at least one case, the former owner of one of the companies said it wasn’t a product she ever offered to customers. Three federal officials who spoke to The Washington Post anonymously confirmed federal officials are investigating the alleged fraudulent...

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Topics: ACO (Accountable Care), Insurance, Medicare, Patient / Consumer, Payment Models, Provider, Survey / Study, Trends, Value Based
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