Fraud & Abuse:
Beware More Outlier Fraud
Published on Fri Oct 21, 2016
Self-reporting a weak point. Don’t think a new outlier payment methodology will eliminate the fraud that has hounded this portion of the Prospective Payment System. Shifting to the per-unit outlier calculation “may result in fraudulent calculation of the time necessary to provide the service,” warned the California Association for Health Services At Home in its comment letter on the 2017 [...]