tci Medicare Compliance & Reimbursement - 2005 Issue 42

PHARMACEUTICALS: Part D Fraud A Priority For CMS

Agency to use innovative techniques to for fraud detection.The Centers for Medicare and Medicaid Services wants providers' help to spot phony Part D cards and shady prospective beneficiaries to prevent waste, fraud and abuse in the upcoming prescription drug benefit.Nearly three months before the new Medicare prescription drug benefit will begin, CMS announced Oct. 7 it is already preparing for fraud complaint investigations. CMS wants beneficiaries, health care professionals and Medicare prescription drug plans to keep an eye out for fraud in the coming months.The agency is working with eight Medicare Rx Integrity Contractors, which the...

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