The Centers for Medicare & Medicaid Services is taking the bull by the horns in its efforts to stem the tide of Medicare fraud, especially with respect to suppliers of durable medical equipment who file bogus claims. CMS is announcing that it has revoked the billing privileges of more than 1,100 medical equipment suppliers in south Florida and southern California (the epicenters for such activities) and suspending payments to home health agencies in the Miami-Dade, Fla. area. In addition to suspending payment, CMS is: implementing extensive pre- and post-payment review of claims submitted by ordering/referring physicians; and validating claims submitted by physicians who order a high number of certain items or services by sending follow-up letters to these physicians. A laudable effort whose magnitude is roughly equivalent to an enormous New Year’s resolution to the trim taxpayer burden of the nation’s public healthcare insurer. | LINK

Related Posts Within Doctor Pundit:

1. Arrests in Medicare Fraud Ring in Miami Another day, another story of Medicare fraud. Perhaps the Obama...
2. Mental Health Services Chain Perpetuated Medicare Fraud Medicare reform as it relates to expenses for mental healthcare...
3. Nurses Indicted for Medicare Fraud The scope of Medicare fraud is wide and involves more...
4. CMS Chief Answers to Congress, Provides Few Details on Reform’s Early Progress The first opportunity for the House to fire questions at...
5. Miami Medicare Fraud Bust Easily Tops July 2010 Net Who knew Miami was the Medicare fraud capital of the...