🇺🇸United States
Fraudulent skin substitute overbilling
0
Definition
Providers bill Medicare for excessive skin substitute applications without medical necessity or proper oversight, leading to massive improper payments. Cases involve repeated high-cost procedures on single patients generating millions in claims.
Key Findings
- Financial Impact: $80M monthly
Why This Matters
This pain point represents a significant opportunity for B2B solutions targeting Mobile Wound Care Services USA.
Deep Analysis (Premium)
Financial Impact
Data available with full access.
Unlock to reveal
Current Workarounds
Data available with full access.
Unlock to reveal
Get Solutions for This Problem
Full report with actionable solutions
$99$39
- Solutions for this specific pain
- Solutions for all 15 industry pains
- Where to find first clients
- Pricing & launch costs
Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Large-scale fraud schemes in wound care industry
Variable
OIG Medicare Claim Settlements
$850K
Claim denials from audits
Not quantified, but high-risk targeted reviews
Increased fraud investigations and billing denials
Unquantified but material
Unauthorized mobile wound care providers causing treatment complications
$10,000,000+
Medicaid False Claims Settlements
$290K
Request Deep Analysis
🇺🇸 Be first to access this market's intelligence