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Dr. Simborg,

Thank you for your continuing labors to raise the visibility of health care fraud. The diversion of billions of dollars from patient care into overtly criminal enterprises, with so little enforcement, may be historically unprecedented in the US. I recently listened to a Lexis/Nexis webcast on health care fraud which included a presentation from Florida Senator Martinez’ office, including evidence that the actual fraud burden may approach percentages in the high teens generally and, in specific areas like South Florida, Southern California, Texas, and Georgia, even higher.

The fact that your first study highlighted that EHRs would likely make this worse, combined with the lack of apparent action on the second report’s recommendations is especially bewildering. Neither HHS generally nor its leadership in the Office of the National Coordinator are highlighting this huge drain on national resources. The fact that the health care industry is in the top five of voters’ concerns at this makes one wonder, who is benefiting from the inaction on, annually, hundreds of billions of theft?

RDGelzer, MD, MPH, CHCC
Advocates for Documentation Integrity and Compliance

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