The projected recoveries to the federal government from fraud-related audits and investigations are expected to rise 33% — or by $1.7 billion — in fiscal 2012, the Department of Health and Human Services...
CMS is two weeks late issuing report on fraud prevention efforts
By
McKnight's Staff
Oct 17, 2012
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency’s fraud prevention system (FPS).
OIG: Medicare contractors, antipsychotics in SNFs to get a closer look
By
McKnight's Staff
Oct 04, 2012
The Medicare contractors keeping close tabs on long-term care facilities will be subject to oversight too, according to a federal working plan released this week.
Medicare antifraud efforts paying off, experts say
By
McKnight's Staff
Aug 21, 2012
Although Medicare’s fraud detection tactics have been sharply criticized by lawmakers and provider groups, federal officials say efforts are paying off.
Federal healthcare fraud initiative will vigorously scrutinize provider claims
Jul 27, 2012
A new federal fraud-fighting initiative will apply increased scrutiny to provider health claims submitted to both government and private payers, government officials announced Thursday.
Medicaid directors propose reforms for fraud-detection programs
By
McKnight's Staff
Jul 03, 2012
State Medicaid directors outlined several different strategies for streamlining collaboration between Medicare and Medicaid antifraud efforts in a June 29 letter to members of the Senate Finance Committee.
Medicaid claims audits come up short, report suggests
By
McKnight's Staff
Jun 14, 2012
The federal program tasked with detecting Medicaid fraud costs more to operate than it has recovered in overpayments, a government investigation found.
Nursing home residents targeted as part of massive Medicare scheme
By
McKnight's Staff
May 04, 2012
Beneficiaries from nursing homes were a target of a group filing false claims in what authorities call the largest Community Mental Health Center services fraud case.
Healthcare waste accounts for a third of all spending, government official says
By
McKnight's Staff
May 02, 2012
With healthcare waste taking up to a third of all healthcare costs, reducing waste and fraud remain primary goals of the Office of the Inspector General, the head of the agency said Monday.
CMS issues final rule on provider identification number
By
McKnight's Staff
Apr 25, 2012
Providers and suppliers who submit claims to Medicaid and Medicare must include an identification number on enrollment applications and payment claims, according to a final rule.