OIG asserts CMS to make better its data collection on ineligible contributors as a way to decrease the improper payments from Medicare and Medicaid.
In testimony submitted to House of Representatives Subcommittee on Oversight and Investigations, the Office of Inspector General (OIG) urged the Centers for Medicare & Medicaid Services to work with states to correct gaps in their collection of data on ineligible providers.
Additionally, CMS is not doing enough to assist to prevent ineligible providers from enrolling in Medicare according to the division of the Department of Health & Human Services.
CMS sustains to be vulnerable to fraud largely because of poor oversight to data on terminated or ineligible providers, the OIG testimony stated. As a result, billions are lost from improper payments each year.
In the year of 2015, HHS reported that Medicare and Medicaid released about $88.8 billion in improper payments, Maxwell said, nearly 99% of the $89.8 billion in improper payments that HHS reported for that year. Traditional Medicare fee-for-service improper payments accounted for $43.3 billion, and Medicaid improper payments totaled $29.1 billion.
Your email address will not be published. Required fields are marked *
Aetna Announces The Completion of $1 Billion Bond Public Offering
Aetna Declares A Brighter Experience For Entire Members of Aetna Dental Team
Urgent care chain utilizes patient feedback to empower performance
Patrick Conway is quitting CMS to supervise BCBS North Carolina
Copyright© 2015 Healthcare insurance News All Right Reserved