tci Part B Insider - 2004 Issue 4

Fraud and Abuse: Program Safeguard Contractors Create Havoc for Physicians

Now an extra hand stirs the pot, but are the watchdogs talking to each other?If you thought your Part B carriers were making your life complicated by themselves, you could be in for a surprise.  The Centers for Medicare & Medicaid Services has been ramping up a new set of contractors in charge of fighting fraud and abuse. In many cases, these providers will work alongside your carrier. And in quite a few cases, these Program Safeguard Contractors may be the same entity as your carrier, but with different rules and procedures. "It seems like there's...

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