Changes to Medicare Fraud System Announced

Last year there was a record $4 billion collected in the recovery program.  New tools authorized by the Affordable Care Act give CMS further power to fight fraud.  An announcement published on August 12, 2011, said:

This concept of risk scoring techniques is a little disconcerting. If you've ever had an incorrect ding on your credit record, you know what a pain it is to get it cleared up.  It is not uncommon for doctors with similar names in similar locations to have problems with insurance companies and services getting paid or not paid because of name confusion. Hopefully, CMS will setup easy to understand procedures to help innocent providers clear their names quickly.