Medicare's swelling price tag might be reined in. Here are the steps taken and future actions required to restrain Medicare fraud, according to the GAO.
The GAO has discovered continual weak areas in the methodology employed by the Centers for Medicare & Medicaid Services (CMS), the national department that supervises Medicare and Medicaid, to register Medicare service providers. If enrollment approaches were actually bolstered, potential fraudulence could be impeded.
For instance, in early 2011, CMS established a restricted, moderate and high standard of risk for providers and established varying screening measures for each classification. However, the GAO uncovered that CMS had not performed the following actions, as stipulated by the Patient Protection and Affordable Care Act (PPACA):.
• Establish core elements with regard to compliance programs for providers.
• Disperse a regulation demanding extra provider info.
• Create background checks hinged on finger prints.
• Specify which providers would be obliged to post surety bonds, and that consequently, should ensure the recovery of falsified claims.
http://syrtissolutions.com/medicaid/critical-steps-curtail-medicaid-fraud/
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