Extended Medicare Bans Hint At Entrenched Fraud

By Jeff Overley (July 30, 2014, 7:23 PM EDT) -- Medicare on Wednesday extended its bans on new suppliers of ambulance services or home health care in six major metropolitan areas, indicating that pervasive fraud may remain and that more criminal charges are likely as investigators continue to embrace an extraordinary fraud-prevention tool.

The extension of the six-month bans, which were authorized by the Affordable Care Act, comes one year after regulators first introduced moratoriums in Chicago, Houston and Miami, and six months after they extended those bans and also froze enrollments in Detroit, southwestern New Jersey and Philadelphia.

"A significant potential for fraud, waste and abuse continues to exist in these...

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