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New CMS rules enhance Medicare provider oversight; strengthens beneficiary protections

CMS Administrator Marilyn Tavenner today announced new rules that strengthen oversight of Medicare providers and protect taxpayer dollars from bad actors.
Press Release

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

CMS imposes first Affordable Care Act enrollment moratoria to combat fraud

Building on strong anti-fraud efforts already underway, Centers for Medicare & Medicaid Services’ (CMS) Administrator Marilyn Tavenner today announced temporary moratoria on the enrollment of new home health provider and ambulance supplier enrollments in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) in three fraud “hot spot” areas of the country.
Press Release

CMS PROPOSES NEW COVERAGE CRITERIA FOR WHEELCHAIRS, SCOOTERS

In its continuing effort to improve Medicare coverage and payment for power wheelchairs and scooters, while protecting the Medicare program and taxpayers from abuse, the Centers for Medicare & Medicaid Services (CMS) today released draft coverage criteria for these devices, as well as new codes to ensure proper payment.
Press Release

PROPOSED NURSING HOME PAYMENT REFORMS INCREASE ACCURACY, PREDICTABILITY OF PAYMENT

New Medicare nursing home payment rates for fiscal 2006, proposed today by the Centers for Medicare & Medicaid Services (CMS), will refine the way nursing homes are paid to ensure quality, efficiency, and accuracy of payments, without reducing revenue for the industry.
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

VICE PRESIDENT BIDEN ANNOUNCES OVER $2 BILLION IN ANTI-WASTE MEASURES AT CABINET MEETING

At the White House today, Vice President Biden convened a cabinet meeting to discuss waste reduction at federal agencies as part of the administration’s Campaign to Cut Waste.
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 ISSUES FINAL RULE FOR PAYMENT ERROR RATE MEASUREMENT FOR MEDICAID AND CHIP

As part of the Administration’s enhanced efforts to reduce improper payments in Federal programs, the Centers for Medicare & Medicaid Services (CMS) today issued the final regulations that will fully implement improvements to the Payment Error Rate Measurement (PERM) for Medicaid and the Children’s Health Insurance Program (CHIP).
Press Release

MEDICARE OPENS NATIONAL COVERAGE DETERMINATION TO MAKE SURE BENEFICIARES WHO NEED WHEELCHAIRS GET THEM

The Centers for Medicare & Medicaid Services (CMS) announced today it was opening a National Coverage Determination (NCD) to review its criteria for wheelchair coverage under Medicare, as part of a three-pronged initiative to make sure patients get the care and equipment they need and providers are properly paid while curbing abuse.
Press Release