|
|
|
Search
06/11/2025 Paul Kesselman, DPM
Medicare Fraud Hurts Everyone
Fortunately this was not a DPM, but an almost octogenarian formulated a $!B DME fraud scheme via multiple marketing companies who managed along w/cooperating patients, physicians and other suppliers to perpetrate one of the largest takedowns in the history of the CMS Fraud investigations strike force. If you wonder why the application process to obtain a DME PTAN or retain the one you have via revalidation, look no further than this report $1B Strike Force Bust.
My only question to all involved in this and previous large takedowns is WHAT TAKES YOU SO LONG and why are these investigations so expensive!
If any of these people would listen to me they would put every supplier on a bell curve with an expected income estimate based on others in their industry, their years in business and multiple other factors. As soon as there is an aberration, someone needs to start looking at the income streams and start auditing these companies. It is absolutely inexcusable that these and other large scale findings are not noted sooner prior to the money being sent off shore nowhere to be found.
I myself have been the target of two companies who allegedly provided me with a Continuous Glucose Monitor. I have filed complaints with Medicare and the OIG against these companies.
It is imperative you tell your patients, family friends as well as yourself that you must check your EOMB or other third party statements. Preserving the Medicare Trust Fund is everyone's business.
In other recent mega million dollar cases, your PECOS accounts have been compromised and your EFT accounts changed to allow unscrupulous individuals to submit fraudulent claims on your behalf with the money filtered to an account other than your own. As I have posted previously, your bank account where EFT's are sent are also prime targets of thieves. Be sure those accounts are kept secure as is your PECOS enrollment username and password. As with other passwords, don't share them with anyone but your most trusted and needed employee. Remember that no one (not even the PECOS employees who you call for resetting a password) have access to your password. And be sure you never give to someone posing as a PECOS employee (they will never ask for it!). Changing your PECOS access information as you do with other accounts is essential! Keeping this information is sacrosanct and it is true for the solo provider no matter what the specialty to organizations with hundreds of employees. Paul Kesselman, DPM, Oceanside, NY
There are no more messages in this thread.
|
|
|
|