Report: CMS should boost reporting of fraud, abuse

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While the Centers for Medicare & Medicaid Services has made strides in reducing Medicare fraud and abuse, the agency's sheer size leaves it vulnerable, a new report shows.

According to the report, called “Medicare Program Integrity: Activities to Protect Medicare from Payment Errors, Fraud, and Abuse,” the agency “has made considerable progress in improving program integrity oversight as well as in reporting on Medicare program integrity. With increased mandatory and discretionary funding, CMS's ability to wage a consistent, coordinated program integrity campaign has improved.”

Additionally, the report provides more specific details on the functions private contractors and law enforcement agencies have on Medicare's program integrity.