CMS rule targets Medicare fraud as GAO says more could be done
Healthcareitnews: April 24, 2012 | Bernie Monegain, Editor
WASHINGTON – Even as the Centers for Medicare & Medicaid Services (CMS) announced a final rule Tuesday aimed at preventing Medicare fraud and saving taxpayers nearly $1.6 billion over 10 years, the GAO came out with a report urging CMS to do more.
The GAO found persistent weaknesses in Medicare’s enrollment standards and procedures that increased the risk of enrolling entities intent on defrauding the program. It called for pre- and post-payment claims review and for
mechanisms in place to resolve vulnerabilities
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“The Medicare program is difficult to measure in a reliable way,” GAO stated in its report, “but it is clear that fraud contributes to Medicare’s fiscal problems. Reducing fraud could help rein in the escalating costs of the program.”