tci Medicare Compliance & Reimbursement - 2009 Issue 12

INDUSTRY NOTES :CMS Tackles Fraud With New Health Care Fraud Prevention and Enforcement Action Team (HEAT)

Plus: New report shows medical practices spend $85,276 per physician annually to deal with health insurance plans. You've got your eye on the RACs, the OIG, and your payer's auditors, but now CMS takes its oversight up a notch with a new interagency strike force. On May 20, CMS announced that it developed the Health Care Fraud Prevention and Enforcement Action Team (HEAT) to combat fraud in the Medicare program. In addition, CMS will expand its Strike Force team operation to target fraud locally in Detroit and Houston (Strike Force already operates in South Florida and Los Angeles)...

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