CMS plans fraud-tracking system
The Centers for Medicare & Medicaid Services plans to launch a new provider website to track enforcement actions against Medicare providers over potentially fraudulent claims, Modern Healthcare reported.
The new Provider Compliance Reporting System would be accessible on ProviderMedicare.gov, which has not yet launched.
While CMS currently has several systems in place to review these claims, “none of the existing reporting mechanisms allows for a comprehensive view of Medicare's activity with the CMS and its contractors,” the agency's solicitation notice states.
The new system will allow Medicare review contractors and CMS staff to view a provider profile, which will show claims that have been flagged for review. It also will ensure the same claim is not being reviewed by multiple contractors at one time.
Both providers and the public will have access to review information on the new resource, the contract states.
Although neither a budget nor a launch date has been set, interested contractors need to submit their proposals by June 18; CMS officials say they hope to award the two-year contract by Sept. 30.
Requests for comment from CMS about the new system were not returned as of press time.