tci Medicare Compliance & Reimbursement - 2008 Issue 34

CMS Appoints 'Integrity Contractors' To Find Fraud

New Medicare program will zero in on aberrant billing trends in your claims. Just when you thought CMS couldn't crack down on medical practices any more than it already does comes news that the agency's scare tactics have reached an all time high -- and your practice better take notice. CMS announced on Oct. 6 that it will soon implement its newest plan -- appointing program integrity contractors who will review billing trends and patterns among Medicare claims. "They will focus on companies and individuals whose billings for Medicare services are higher than the majority of providers and suppliers...

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