INTRODUCTION:
Medicare, the federal health insurance program in the United States, serves millions of Americans, providing essential healthcare coverage for seniors and certain individuals with disabilities. However, with its vast reach and substantial funding, Medicare is also a target for fraud and deception. Fraudulent activities not only drain taxpayer dollars but also jeopardize the integrity of the healthcare system and endanger patient well-being. To combat these threats, Medicare employs various strategies and initiatives aimed at detecting, preventing, and prosecuting instances of fraud and deception. Yet, some people would argue the since Medicare loses billions of dollars every year to fraud, waste, and abuse, they could do a better job at preventing fraud.
DETECTION MECHANISMS: