Key to stopping fraud is requiring personal responsibility
Regarding the article “Former Tuomey CEO to personally pay $1 million to settle False Claims Act case” (ModernHealthcare.com, Sept. 27), the key to stopping flagrant Medicare fraud is to absolutely make the perpetrators directly and personally responsible on a criminal and financial basis. When enough of these cases are handled in such a manner, their peers will quickly understand there is no reward or status for gaming Medicare regulations.
Another logical step to put the brakes on the most rapidly growing, lucrative business in healthcare— Medicare fraud—is to hold the physicians making referrals to specialists and other services responsible for ensuring they are in no way complicit in supporting acts of Medicare fraud, e.g., oncologists ordering unnecessary PET scans, treating patients with EPO drugs, etc.
With our tax dollars now paying for over 50% of healthcare these days (Medicare/Medicaid/VA) stricter enforcement, with severe personal penalties, as was dealt this ex-CEO, is the only medicine to cure those so committed to ignoring Medicare regulations for their benefit.