Is it Medicare fraud for a company to bill commercial insurance companies a higher fee-for-service than they are billing Medicare for the same service?

Insurance companies negotiate rates for services at the best advantage to them. Companies with larger groups get the best rates becaues they have more economic leverage. Medic (MORE)

Is it Medicare fraud for a company to bill medicare more than others for the same service?

No. What many people do not understand is that providers DO NOTdetermine their own reimbursement rate. When providers decide tojoin a network, for example Aetna, they are prov (MORE)