DecisionHealth, DecisionHealth - 2010 Issue 10 (October)

CMS introduces criteria for suspending Medicare payments in anti-fraud effort

Reports of health care fraud against your practice can lead to a payment suspension, according to a new anti-fraud proposal from CMS. The agency already has the ability to suspend your payments for up to 180 days when it suspects fraud, but now CMS wants to define exactly what constitutes a credible allegation of fraud.

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