What is Medicare fraud?
Medicare fraud is billing Medicare for services which you either didn’t provide or you didn’t provide in compliance with all of the Medicare rules and regulations, about a million of them. When a provider submits a claim, they certify that the service was provided as claimed. That means, among other things, they certify that the patient was eligible, the provider was certified, the services covered by Medicare and the medical records document that the service was properly provided. If the certification is false, there’s Medicare fraud.