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Fraud

CMS uses data to thwart $820M in fraud

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07/14/2015

WASHINGTON – CMS’s Fraud Prevention System has identified and prevented $820 million in inappropriate payments in three years of use, the agency announced today.

Gov’t announces ‘largest takedown in history’

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06/19/2015

WASHINGTON – A nationwide sweep led by the Medicare Fraud Strike Force has resulted in charges against 243 individuals, including 46 doctors, nurses and other licensed medical professionals.

Fingerprint checks on way for Medicaid

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06/05/2015

WASHINGTON – Providers who CMS considers to be at high risk of defrauding Medicaid should expect fingerprint-based background checks on Aug. 1, the National Law Review reports.

OIG report includes DME items

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06/02/2015

WASHINGTON – The Office of Inspector General included in its semiannual report to Congress a recommendation that the New York Medicaid program could have saved an estimated

Bill raises standards for O&P

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03/24/2015

WASHINGTON – Sens. Chuck Grassley, R-Iowa, and Mark Warner, D-Va., introduced a bill on March 23 that would apply accreditation and other standards for orthotics and prosthetics to help guarantee product quality and reduce fraud in the Medicare program.

Fraud efforts recover $3.3B

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03/20/2015

WASHINGTON – The government’s healthcare fraud prevention and enforcement efforts recovered $3.3 billion in taxpayer dollars in fiscal year 2014, the Justice and Health and Human Services departments an

Fingerprints slow Medicare application process

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02/03/2015

WASHINGTON – There have been delays in processing new Medicare applications for DME providers due to CMS’s new fingerprinting initiative, the Midwest Association for Medical Equipment Services (MAMES) reports.

What’s the real story?

Stakeholders respond to Post story on power wheelchair fraud
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09/05/2014

WASHINGTON – A recent story in the Washington Post highlighting power wheelchair fraud is simply rehashing old news at the cost of highlighting current problems, industry stakeholders say.

In brief: Fingerprint checks under way, HME companies make Inc. list

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08/22/2014

WASHINGTON – CMS began requiring fingerprint-based background checks for certain providers on Aug. 6, according to an MLN Matters article.

Fingerprint checks under way

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08/22/2014

WASHINGTON – CMS began requiring fingerprint-based background checks for certain providers on Aug. 6, according to an MLN Matters article.

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