tci Medicare Compliance & Reimbursement - 2009 Issue 23

BEWARE: MICs Can Involve Medicare, Trigger Fraud And Abuse Investigations

4 strategies help you navigate MIC-related payment and compliance woes. If you think the Recovery Audit Contractors (RACs) are bad, you may not yet have heard about the Medicaid Integrity Contractors (MICs) who are already auditing hospitals, skilled nursing facilities, pharmacies, and other providers in some states. Although MICs are focused on Medicaid, they may intersect with Medicare, and could also pave the way for major compliance headaches -- in other words, prepare for trouble ahead. "Absolutely, I think we'll see cross-referrals between the MICs and Medicare," predicts attorney Paula Sanders, a partner with Post & Schell in...

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