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HHS WOULD INCREASE REWARDS FOR REPORTING FRAUD TO NEARLY $10 MILLION

Health and Human Services Secretary Kathleen Sebelius today announced a proposed rule that would increase rewards paid to Medicare beneficiaries and other individuals whose tips about suspected fraud lead to the successful recovery of funds to as high as $9.9 million.
Press Release

NEW TECHNOLOGY TO HELP FIGHT MEDICARE FRAUD

On the heels of the White House launch of the Campaign to Cut Waste - an administration wide initiative to crack down on waste, fraud and abuse, the Centers for Medicare & Medicaid Services (CMS) announced today that starting July 1, it will begin using innovative predictive modeling technology to fight Medicare fraud.
Press Release

CMS PROPOSES IMPROVEMENTS TO MEDICARE

The Centers for Medicare & Medicaid (CMS) has proposed revisions to the Medicare Advantage program and prescription drug benefit program (Part D) that would implement new benefits under the Affordable Care Act and increase patient protections.
Press Release

CMS TAKES STEPS TO CRACK DOWN ON INAPPROPRIATE HOSPITAL OUTLIER CLAIMS

The Centers for Medicare & Medicaid Services (CMS) today proposed new regulations that will prevent further gaming of the outlier system. A few hundred hospitals in recent years have obtained the lion’s share of these payments by manipulating their Medicare billing to maximize Medicare outlier revenues.
Press Release

NEW EFFORTS AIMED AT STOPPING ABUSE OF THE POWER WHEELCHAIR BENEFIT IN THE MEDICARE PROGRAM

The Centers for Medicare & Medicaid Services today announced a 10-point initiative to substantially curb abuse of the Medicare program by unscrupulous providers of power wheelchairs and other power mobility products who prey on Medicare beneficiaries.
Press Release

CMS ADMINISTRATOR TOM SCULLY TO STEP DOWN DEC. 15

CMS Administrator Tom Scully announced today he will resign effective Dec. 15, following three years at the helm of the nation’s second and third-largest domestic programs, Medicare and Medicaid.
Press Release