Skip to Content

Senators introduce fraud legislation

Senators introduce fraud legislation

WASHINGTON – Sens. Mike Braun, R-Ind., and Bill Cassidy, R-La., have introduced legislation to target irregular billing for certain DME and other diagnostic products. 

The “Medicare Transaction Fraud Prevention Act” directs CMS to create a two-year pilot to oversee Medicare-covered purchasing of DME and other diagnostic testing related products for the 5% of beneficiaries that already receive electronic notices. 

The bill, which would ask beneficiaries to verify certain purchases, would give CMS increased access to vital predictive data, test proof-of-concept for future use, and save hundreds of millions of dollars without overhauling their system, according to Braun and Cassidy. 

Medicare loses approximately $60 billion annually due to fraud, errors, and abuse involving both predatory health care professionals and anonymous organized criminals, the lawmakers say. 

“An annual loss of $60 billion is unacceptable,” Braun said. “It’s time for CMS to strengthen their fraud detection process in order to stop the hemorrhaging of the Medicare trust fund.” 

Rep. David Schweikert, R- Ariz., has introduced a companion bill in the House of Representatives. 

The bill does not authorize any funding, and beneficiaries can opt out at any time.

Comments

To comment on this post, please log in to your account or set up an account now.