CMS widens audits, hones in on Part A claims, expert says
By
James M. Berklan
Jun 01, 2013
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance...
The Government Accountability Office recently issued a pair of reports within days of one another critical of how the Medicaid program gathers data and screens its provider participants.
Better anti-fraud efforts are not appeasing lawmakers
By
Tim Mullaney
Aug 01, 2014
Long-term care facilities and other Medicare providers increasingly have seen reimbursements influenced by the government’s Fraud Prevention System, an official recently told a Congressional panel.