In Texas, a supplier of durable medical equipment was found guilty of five counts of healthcare fraud due to submission of false claims to Medicare. The court sentenced the supplier to 120 months of incarceration and restitution of $1.6 million.
the following four solutions to identifying and reducing fraud and abuse are suggested:explain about each of the following in detail.
Training and education
Implementation of computer-assisted coding (CAC)
Increased federal enforcement of fraud and abuse monitoring
Use of data modeling and data mining