tci Medicare Compliance & Reimbursement - 2006 Issue 28

FRAUD & ABUSE: Get Ready--Feds Will Use Medicare Fraud-Fighting Tactics For Medicaid

Contractor audits, payment scrutiny ensues.At least 100 full-time Centers for Medicare & Medicaid Services (CMS) staff will be collaborating with state officials to scrutinize your Medicaid billing practices.In an "unprecedented" effort to fight Medicaid fraud, CMS announced on July 18 that it is launching the Medicaid Integrity Program (MIP), which the Deficit Reduction Act of 2005 (DRA) created. "The program we are initiating today builds upon expanded activities to combat fraud in the Medicare program that have proven successful in the past few years, as well as recent congressional action on our request for additional funding to...

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