Subscribe to RSS - fraud and abuse

fraud and abuse

Senior Medicare Patrol projects see mixed results


WASHINGTON – Senior Medicare Patrol projects report $2.5 million in expected recoveries for Medicare in 2015, compared to $660,829 in 2014, a 282% increase, according to a June 3 report from the Office of In

Proposed changes for surety bonds: Counter abuses to the program, or place too heavy burdens on providers?

Tuesday, May 31, 2016
Todd Bryant
president and founder, Bryant Surety Bonds

On March 1, 2016, CMS published a proposed rule that seeks to address a growing number of abuses of the federal healthcare program by certain Medicare providers.

Fingerprinting: New opportunity for ‘mistakes and delays’


WASHINGTON – HME providers who want to do business with Medicare will have to navigate through another layer of bureaucracy starting some time this year.

Two-thirds of O&P payments go to unlicensed providers, report says


WASHINGTON – When it comes to improper payments for orthotics and prosthetic (O&P) services, CMS is going after the wrong guy, according to a new report.

Who’s left holding the hot potato?

Tuesday, July 16, 2013

A few weeks ago, a provider tipped me off that CMS had started recouping payments for Medicare beneficiaries who were in prison at the time of dates of service.