Medicare Billing Accuracy and Fraud Risks in Physical Therapy Claims

A Medicare beneficiary noticed discrepancies on the physical therapy billing statements for her husband, who has Parkinson's disease, suggesting charges for days when therapy was not provided. The situation raises concerns about the accuracy and legality of Medicare billing, as submitting claims for services not rendered can be considered Medicare fraud or abuse. This scenario highlights the importance of vigilance and compliance in provider billing practices to avoid regulatory penalties and ensure integrity in Medicare reimbursements.