Medicaid for Homecare Services

When it comes to providing homecare services, Medicaid can help pay the bills. Unfortunately, these types of homecare services also leave the door open for Medicaid fraud which costs the government billions of dollars every year. An estimate of Medicaid fraud say somewhere between $11 and $60 billion is lost every year due to fraudulent phantom payments. Money paid out to patients who aren’t there or companies which do not even exist, much less provide home care solutions for anyone.

The best way to prevent this type of fraud from taking place is to be thorough before hiring a home care management solution. Does your home work? Ask lots of questions and don’t settle for partial answers. Every home care provider should be able to supply you with information about where they received their license, where they have worked previously and whether or not they are certified to work in your community.

In 2009 alone Congress put aside an extra $200 million for the Medicaid anti-fraud budget. This is money which is spent to fight fraudulent services from taking advantage of the federally funded program. In 2010 Congress increased that amount by another $300 million. That is a half a billion dollars in federal funds just to prevent a specific type of crime. Despite these staggering sums of money billions more were lost in the last two years due to fraudulent Medicaid claims.

Some of the money spent by Medicaid to fight fraudulent claims was invested in new computer software to flag suspicious bills. You can purchase your own home care software to help you properly manage bills and submit them to Medicaid for payment. This will help legitimize your claim and speed funding.

Part of the new Federal Affordable Care Act plans to use funds re-captured through the prevention of fraudulent claims to Medicaid. This money, which is currently being paid to criminals looking to make an easy buck would instead help provide medical and preventative medical care for people in need. With billions of dollars at risk each year from Medicaid fraud for homecare scheduling software

services it is essential the government stem the flow of fraud.