U.S. Warning to Hospitals on Medicare Bill Abuses

NYTimes.com: By REED ABELSON and JULIE CRESWELL: September 24, 2012

Saying there are “troubling indications” of abuse in the way hospitals use electronic records to bill for Medicareand Medicaid reimbursement, the Obama administration warned on Monday that it would not tolerate what it called attempts to “game the system” and vowed to vigorously prosecute doctors and hospitals implicated in fraud.

The strongly worded letter, signed by theattorney general, Eric H. Holder Jr., and the secretary of health and human services, Kathleen Sebelius, said that “electronic health records have the potential to save money and save lives.”

But the letter continued: “There are troubling indications that some providers are using this technology to game the system, possibly to obtain payments to which they are not entitled. False documentation of care is not just bad patient care; it’s illegal.” Read more