CMS Final Rule Aims to Save $1.6 Billion in Fraud

April 30th, 2012 by Qui Tam

On April 24, 2012, the Centers for Medicare & Medicaid Services (CMS) issued a final rule requiring stronger protections against fraudsters.  The final rule allows only qualified, identifiable providers and suppliers to order or certify medical services, equipment, and supplies for Medicare beneficiaries.  

CMS will be diligently verifying provider credentials.  Providers and suppliers will be required to provide their National Provider Identifier numbers (NPI) when applying for Medicare and Medicaid reimbursements.  According to CMS, the agency together with the states can then use the NPI and provider credentials to connect specific claims to the ordering or certifying physician or eligible professional.

By issuing the final rule, CMS is planning to eliminate Medicare fraud and save taxpayers nearly $1.6 billion over 10 years.

For more information, please see: 
http://www.fiercehealthcare.com/story/cms-issues-final-rule-save-16b-fraudsters/2012-04-25?utm_medium=nl&utm_source=internal

Leave a Reply