Report suggests CMS officials downplayed Medicare fraud
Rehab Regs, August 22, 2008
CMS officials may have relied on faulty auditing procedures to downplay the number of fraudulent Medicare claims it paid in 2006, The New York Times reported Wednesday.
The Times obtained a draft of an unreleased report from the Office of Inspector General (OIG) that said CMS officials told its auditor, AdvanceMed Corporation, not to compare sales invoices against doctors’ records, a legal requirement, to ensure durable medical equipment went to actual patients.
While Medicare told Congress 7.5 % of its claims for the 2006 fiscal year were not supported by appropriate documentation, the OIG’s review indicated that the actual rate of unsupported Medicare claims was closer to 31.5 %, according to The Times. A CMS spokesman said allegations that the agency had manipulated its error rate were “preposterous,” The Times reported.
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