According to a recent report in the Washington Post, a $3 billion scam involving urinary catheters has brought to light serious flaws in Medicare, prompting strong calls for reform….
Jason Jobes from Norwood Staffing is worried that smaller ACOs might not have the right tools and expertise to catch fraudsters, which could hit them hard financially. He suggests that specialized vendors could help these ACOs manage their costs better and detect any wrongdoing, even though it might be costly. Jobes advises ACOs to closely monitor how they use medical codes and compare these with previous years to spot any unusual patterns.
