Saturday, October 16, 2010

Medicare Fraud

The headlines read;

""I.T. and data mining capabilities had a role in dismantaling what authorities are calling the largest Medicare fraud scheme ever, involving 73 memebrs of organized crime and more than $163 million in fraudulent billing"".

So the acused are a group of Armenin-American organized crime (AKA mafia!) members.  They submitted fraudlent bills to medicare for treatments never performed. The defendants stole the identity of thousands of doctors and beneficiares in 25 states using 118 phony clinics!

They got caught because of todays IT capabilities! Pretty cool.   ""The DOJ has  created the IOC-2  crime center in an effort to combat international crime'' said acting Dept Atty. Gen. Gary Grinder. An undisclosed Information Technology played the critical role. Essentially the HEAT intiative of 2009 developed by HHS Secretary Kathleen Sebelius is the basis for this advancement.   this program uses IT that does in a few days what used to take months!

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