Corporate Compliance

CMS increases fraud prevention

Healthcare Auditing Weekly, October 14, 2008

The recovery audit contractor (RAC) program is not CMS’ only effort to fight fraud and abuse. On October 6, CMS announced new steps to prevent waste, fraud, and abuse in Medicare. CMS’ plans include stronger oversight of medical equipment suppliers and home health agencies, and consolidating its fraud detection efforts, in addition to the RAC program.
In a CMS press release, CMS Acting Administrator Kerry Weems says, “Because Medicare pays for medical service and items without looking behind every claim, the potential for waste, fraud, and abuse is high. By enhancing our oversight efforts, we can better ensure that Medicare dollars are being used to pay for equipment or services that beneficiaries actually received while protecting them and the Medicare trust fund from unscrupulous providers and suppliers.”


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