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Medicare Compliance & Reimbursement

INDUSTRY NOTES :

CMS Tackles Fraud With New Health Care Fraud Prevention and Enforcement Action Team (HEAT)

Published on Fri May 22, 2009

Plus: New report shows medical practices spend $85,276 per physician annually to deal with health insurance plans. You've got your eye on the RACs, the OIG, and your payer's auditors, but now CMS takes its oversight up a notch with a new interagency strike force. On May 20, CMS announced that it developed the Health Care Fraud Prevention and Enforcement Action Team (HEAT) to combat fraud in the Medicare program. In addition, CMS will expand its Strike Force team operation to target fraud locally in Detroit and Houston (Strike Force already operates in South Florida and Los Angeles). "With this announcement, we raise the stakes on health care fraud by launching a new effort with increased tools, resources, and a sustained focus by senior-level leadership," said Attorney General Eric Holder in a statement. "Every year we lose tens of billions of dollars in Medicare and Medicaid funds to fraud." The [...]
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