CMS Announces New Program Integrity Initiatives: More Recoupment Efforts Will be Forthcoming

CMS announced today that effective January 1, 2012 they will conduct demonstration projects designed to strengthen Medicare by aiming at eliminating fraud, waste, and abuse. Three programs were announced:

Recovery Audit Prepayment Review: The Recovery Audit Prepayment Review demonstration will allow Medicare Recovery Auditors (RACs) to review claims before they are paid to ensure . . . → Read More: CMS Announces New Program Integrity Initiatives: More Recoupment Efforts Will be Forthcoming

CMS Posts Listing of Providers Receiving Revalidation Notices

CMS has posted a listing of providers and suppliers who have received enrollment revalidation requests under the Affordable Care Act initiative requiring all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria. Under Section 6401 (a) of the ACA those providers who enrolled prior to March 25, 2011 are required . . . → Read More: CMS Posts Listing of Providers Receiving Revalidation Notices