Fraud, waste, & abuse

Recovery Audits: Improvements to Protect Taxpayer Dollars and put Patients over Paperwork

Some argue the solution to our nation’s health care problems is a government-run health insurance program for everyone. While they may point to Medicare’s low administrative costs as a reason to expand the program, the reality is that these costs are low in part because we must target our program integrity efforts.

Working Together for Value

Over the past year, the Centers for Medicare & Medicaid Services (CMS) has engaged with the provider community in a discussion about regulatory burden issues. This included publishing a Request for Information (RFI) soliciting comments about areas of high regulatory burden.

CMS’s 2017 Medicare Fee-For-Service improper payment rate is below 10 percent for the first time since 2013

CMS is committed to reducing improper payments in all of its programs, as evidenced by improper payment reduction efforts contained in the Fiscal Year 2018 President’s Budget. CMS’ new leadership is re-examining existing corrective actions and exploring new and innovative approaches to reducing improper payments.