Medicare Fraud 101 » Medicaid Fraud http://medicare-fraud.net Medicare Fraud News, Breaking Headlines and Insight from the Qui Tam Perspective Thu, 10 May 2012 17:55:57 +0000 en hourly 1 http://wordpress.org/?v=3.3.2 GAO Identifies Five Strategies to Fight Medicare Fraud, Waste, Abuse http://medicare-fraud.net/gao-identifies-five-strategies-to-fight-medicare-fraud-waste-abuse/ http://medicare-fraud.net/gao-identifies-five-strategies-to-fight-medicare-fraud-waste-abuse/#comments Thu, 17 Jun 2010 21:24:29 +0000 Nolan and Auerbach http://medicare-fraud.net/?p=301 On June 15, 2010, the U.S. Government Accountability Office (GAO) released a report identifying five important areas for preventing Medicare fraud, waste and abuse. The strategies in this new report, “Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments,” are: (1) Strengthening the provider enrollment process and standards; (2) Improving the pre-payment review of claims through automated pre-payment claim review; (3) Focusing post-payment claims review on most vulnerable areas; (4) Improving oversight of prescription drug plan sponsors. Develop a robust process to address resolve vulnerabilities to fraud.

The GAO strategies should be implemented by the Department of Health and Human Services and its components, the OIG and CMS. The strategies are intended to ward off fraud before it happens, something which will benefit taxpayers in the long run. Medicare and Medicaid has too long been a pay and chase reimbursement system.

For the GAO Report or information about qui tam law and Medicare fraud, contact Nolan and Auerbach, PA.

]]> http://medicare-fraud.net/gao-identifies-five-strategies-to-fight-medicare-fraud-waste-abuse/feed/ 0 President’s Proposed 2010 Budget Aims to Increase Revenue by Reducing Fraud, Abuse http://medicare-fraud.net/presidents-proposed-2010-budget-aims-to-increase-revenue-by-reducing-fraud-abuse/ http://medicare-fraud.net/presidents-proposed-2010-budget-aims-to-increase-revenue-by-reducing-fraud-abuse/#comments Wed, 03 Feb 2010 18:16:50 +0000 Nolan and Auerbach http://medicare-fraud.net/?p=273 President Obama’s fiscal year 2010 proposed budget estimates that reducing health care fraud, waste and abuse could save the government about $10 billion in a decade’s time. The budget pledges nearly $1.5 billion for its Health Care Fraud and Abuse Control Program (HCFAC), including a $311 million increase in HCFAC funding. The budget takes aim at reducing Medicare and Medicaid fraud, waste and abuse by, inter alia, increasing oversight and use of national coding and technology to ensure appropriate Medicare payments for imaging and more. It also proposes to address financial conflicts of interest in physician-owned specialty hospitals. This is another firm indication that President Obama is well aware that investing in fraud detection and enforcement will return taxpayer dollars many times over.

To review the budget outline, go to http://www.whitehouse.gov/omb/budget/. Or, for more information about Medicare fraud, contact Nolan and Auerbach, PA.

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