Up to 20 percent of Medicare expenditures are going to fraudulent claims, the keynote presenter on the final day of HIMSS 2010 said.

Independent fraud investigator Harry Markopolos said the government is doing a poor job of monitoring the money it spends on healthcare. Interviewed by CNN medical correspondent Sanjay Gupta, M.D., Markopolos noted that the fraudulent practices run the gamut from billing on behalf of dead patients or dead physicians to upcoding claims, and asking for more than is deserved. "Medicare fraud is pervasive," Markopolos said. "Wall Street is second fiddle to the health care industry."

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