D.C Week: CMS Addresses Medicare Fraud, ACO Penalties
From the article:
This week in Washington, the Centers for Medicare and Medicaid Services announced new regulations to stomp out Medicare fraud
The Centers for Medicare and Medicaid Services (CMS) is issuing new rules to help prevent Medicare fraud and abuse by barring physicians with unpaid debt from re-entering the system and ejecting providers who have a history of abusive billing practices, according to a statement released Wednesday.
“CMS has removed nearly 25,000 providers from Medicare and the new rules help us stop bad actors from coming back in as we continue to protect our patients,” Shantanu Agrawal, MD, CMS deputy administrator and director of the Center for Program Integrity, said in the statement.
The agency’s strategy for curbing unscrupulous providers includes using new predictive analytics technology, implementing fingerprint-based criminal background checks, and temporarily freezing enrollment of new ambulances and home health providers in seven “fraud hot spots.”
They had been doing this for at least THIRTY YEARS.. and they have been as successful as the war on poverty, the war on drugs and ever other “social war” they have declared…
while the IRS is failing to collect 400 – 500 BILLION each year … http://www.facethefactsusa.org/facts/irs-challenge-collect-whats-legally-due abt 16% of taxes owed…
Filed under: General Problems
They need to totally switch ALL Medicare billings to a POS instead of bill and wait to be paid…they’d catch alot of it upfront instead of after the fact