tci Medicare Compliance & Reimbursement - 2010 Issue 11

Fraud and Abuse: Look for Big Compliance Changes, Thanks to Healthcare Reform

One guilty-until-proven-innocent provision could shutter some blameless providers, expert says. Under the healthcare reform law's tough new fraudfighting provisions, regulators will take your money first and ask questions later. "The [HHS] Secretary may suspend payments to a provider of services or supplier ... pending an investigation of a credible allegation of fraud against the provider of services or supplier, unless the Secretary determines there is good cause not to suspend such payments," says section 6402 of the Patient Protection and Affordable Care Act (PPACA). The Department of Health and Human Services (HHS) will "consult with" the HHS Office of...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.