Healthcare Finance: The federal government estimates that over $36 billion in improper fee-for-service Medicare payments have been racked up and the industry overall is wrought with fraud and abuse. Part of it is the nature of the business, said Paul H. Westfall, Washington Counsel for the American Medical Association. It's a very high-transaction and high-volume sector that also carries very fragmented delivery, payment and legal systems. So there is a lot that could potentially not get caught.
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