Tom Coburn (R-Okla. Chairman of the subcommittee that health care providers are cheated Medicaid, because no one thinks they are caught. He said fraud is a big problem and the federal government could cost as much as $ 39 billion by 2016. Coburn said, the CMS has no visibility on fraud prevention efforts in a majority of states. done because most of the fraud is by the states themselves, and audits of the states occur about once every seven or eight years..

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