Fraud & Abuse:
Anti-Fraud Moratorium, Compliance Plan Rules On Deck
Published on Wed Sep 15, 2010
A moratorium would help some, hinder others. Medicare has some newly proposed antifraud regulations that soon could change how you do business. The Centers for Medicare & Medicaid Services has proposed a number of anti-fraud regs based on the health care reform law, according to the Sept. 23 Federal Register. CMS proposes new authority to impose a six-month moratorium on new Medicare enrollees. CMS could impose moratoria when it finds "significant potential for fraud, waste or abuse," the regulation proposes. The agency could find that potential by using data such as a rapid increase in enrollment applications. Or CMS would consider "any recommendation" from the Department of Justice, Department of Health and Human Services, HHS Office of In-spector General, or the Government Accounta-bility Office "to impose a temporary moratorium for a specific provider or supplier type in a specific geographic area," CMS notes. The rule seems to give CMS an [...]