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fraud and abuse

Gov’t sums up healthcare fraud and abuse control


WASHINGTON – The Department of Health and Human Services and the Department of Justice have released their “Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2016.”

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.