GAO wants overhaul of Medicare, Medicaid anti-fraud strategy

McKnight's December 6, 2017

The strategy could help cut down on improper payments in Medicare and Medicaid, which totaled $95 billion in FY 2016.

The Centers for Medicare & Medicaid Services should develop a stronger risk-based anti-fraud strategy for the Medicare and Medicaid programs, a federal watchdog group said Tuesday.
Improper payments within the two programs totaled about $95 billion in fiscal 2016.
The Government Accountability Office, in a new report, notes that CMS’s anti-fraud initiatives only “partially align” with the office’s fraud risk framework, which offers guidance on creating anti-fraud initiatives. While the agency has also started anti-fraud training programs for stakeholders such as providers, it does not require the same awareness training for agency employees, the GAO wrote.
The report also...

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