“The Trump administration issued a new rule that aims to prevent payments to Medicare and Medicaid fraudsters by boosting revocation powers and extending the time before troublesome organizations can rejoin the programs.”
“The Centers for Medicare & Medicaid Services said that the final rule issued Thursday marks a major turnaround from the agency’s normal approach of attempting to recoup fraudulent payments after the fact…”
“The rule gives CMS new powers to revoke or deny organizations from participating in Medicare, Medicaid or the Children’s Health Insurance Program.”
“A new “affiliations” authority lets CMS identify individuals or organizations that have a high risk of fraud, waste or abuse based on their association with previously sanctioned people or groups, a release on the new rule said…” Read the full article here.
Source: CMS gets new powers to go after Medicare, Medicaid fraudsters – By Robert King, September 5, 2019. FierceHealthcare.
