tci Medicare Compliance & Reimbursement - 2012 Issue 22

Compliance: New HHS Suspension Powers Can Create Havoc For Your Income

Gear up for more stringent anti fraud enforcement after the Oct. 4 crackdown.The Department of Health and Human Services and the Centers for Medicare & Medicaid Services sent out a chilling message to fraudsters to mend their ways when 91 people were indicted in Medicare fraud schemes totaling $492.2 million, (see Medicare Compliance & Reimbursement, v 38, n 20.)In addition to formal indictments, CMS suspended Medicare payments and took other administrative actions against 30 health care providers "following a data-driven analysis and based upon credible allegations of fraud," the Department Of Justice said in an...

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