Australian Institute of Criminology

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Electronic medicare fraud: current and future risks

Trends & issues in crime and criminal justice no. 114

Russell G. Smith
ISBN 0 642 24108 2 ISSN 0817-8542
Canberra: Australian Institute of Criminology, May 1999

Abstract

The Health Insurance Commission makes considerable use of computers in carrying out the claiming and payment operations related to Medicare. This paper examines the nature and extent of current forms of fraud and inappropriate practice in relation to Medicare. Smith discusses whether future technological developments will make matters better or worse.