Recently, the Social Security Administration has reportedly taken some steps to both identify and assess various fraud risks when it comes to its disability programs. According to the U.S. Government Accountability Office (GAO), the administration had managed to gather information on fraud risks during the past year, but the method had not been systematic. Moreover, the significance, likelihood and impact of all the risks identified was also not assessed. With this, hospitals and healthcare providers need to anticipate possible changes in eligibility requirements.
Fraud in Disability Has Been Going On for Some Time
During the fiscal year 2015, the payments from both Social Security Income and Disability Insurance programs amounted to approximately $200 billion. Currently, the extent of fraud across both programs are unknown. However, several high-profile cases have made it clear that a number of individuals have managed to obtain millions of dollars in benefits fraudulently. In fact, more than 70 individuals had pled guilty to participating in a social security disability eligibility conspiracy to obtain at least $14 million in fraudulent benefits back in 2014. This is exactly why the GAO was asked to review the Social Security Administration’s fraud risk management.
Social Security Audited For Fraud Risk Management
In order to conduct a thorough investigation, the GAO has reviewed various Social Security documents from 2014 and 2015, including its annual anti-fraud reports. Interviews were also conducted with several Social Security Officials, including staff who work for the administration’s fraud examination units in San Francisco and New York. This performance audit was conducted from November 2015 to April 2017. Following the investigation and audit, the GOA has recommended for the Social Security Administration to develop and implement a strategy that is aligned with its assessed fraud risks. Furthermore, there should also be improved monitoring and evaluation of anti-fraud activities in the future.
Man Found Trying To Commit Disability Fraud Recently
Fraud in social security disability eligibility has been a significant problem in America today. Recently, a man by the name of Ricardo Aponte has been accused of faking disability claims in order to steal as much as $500,000 in tax dollars. He has reportedly been making false claims for an on-the-job injury that had allegedly happened in 2007. At the moment, an administrative hearing judge who reviews compensation claims has stopped Aponte from receiving any further benefits in connection with his past accident. And should there be any chance to collect the $500,000 benefits that Aponte had allegedly fraudulently obtained, the case may move to a criminal court. As a hospital focused on providing care and treatment for all patients, you can avoid becoming a victim of a patient attempting disability fraud by partnering up with an experienced social security disability eligibility experts. These companies will help you identify patients who are truly eligible for SSI and SSDI benefits.
Comprehensive Strategic Approach Needed to Enhance Antifraud Activities, gao.gov Report to the Chairman, Subcommittee on Social Security, Committee on Ways and Means, House of Representatives, gao.gov Man accused of receiving $500,000 in fake disability claims denied further claims, wftv.com