Peter Budetti

CMS leverages technology in move from 'pay-and-chase' to fraud prevention

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The Centers for Medicare & Medicaid Services will utilize computer technology to shift from detecting and then prosecuting fraud ("pay-and-chase") to preventing it, according to a CMS official who spoke at last week's National HIPAA Summit in Washington, D.C.

Letter: Provider group accuses CMS of using Medicare audits for 'stealth policymaking' purposes

Letter: Provider group accuses CMS of using Medicare audits for 'stealth policymaking' purposes

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A provider group is taking the Centers for Medicare & Medicaid Services to task for improperly using Medicare audits as a means of curtailing high-intensity therapy in skilled nursing facilities.

Medicaid claims audits come up short, report suggests

Medicaid claims audits come up short, report suggests

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The federal program tasked with detecting Medicaid fraud costs more to operate than it has recovered in overpayments, a government investigation found.

CMS plans to reorganize, establishing new positions, offices

CMS plans to reorganize, establishing new positions, offices

The Centers for Medicare & Medicaid Services is proposing some major structural changes, according to an internal agency e-mail recently obtained by the National Association for the Support of Long Term Care.