tci Medicare Compliance & Reimbursement - 2016 Issue 14

Compliance: SMP Helped Recapture More Than $2.5 Million

SMART FACTS replaced with SIRS. The Centers for Medicare & Medicaid Services (CMS) has an able partner in its fight against fraud and abuse — the Senior Medicare Patrol (SMP). These volunteers are vigilant about uncovering Medicare and Medicaid abuse and errors, and their efforts include training others to recognize these issues when they go for treatment. Achievements and reports: In its June 2016 report, the HHS Office of Inspector General (OIG) published a memorandum on changes, challenges, and accomplishments related to the SMP 2015 data. Despite a lack of Medicaid recoveries this past year, the SMP outdid itself...

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