New fraud prevention rule gives CMS greater discretion
Providers should read between the lines in order to understand how CMS will punish "bad actors"
December 10, 2014
By Evan Sweeney
Last week, the Centers for Medicare & Medicaid Services (CMS) issued a final rule focusing on new safeguards to reduce Medicare fraud. The new rule gives CMS the "ability to deny or revoke the enrollment of entities and individuals that pose a program integrity risk to Medicare."
George B. Breen--a lawyer in the Health Care and Life Sciences and Litigation practices at Epstein Becker Green in the District of Columbia, and chair of the firm's National Health Care and Life Sciences Practice Steering Committee--said he's not surprised that CMS is putting resources towards this specific area of fraud prevention, considering the tremendous focus that the government has already put towards healthcare fraud enforcement.
"It really gives CMS some additional tools to keep what it considers bad actors or potentially bad actors out of the system," Breen (pictured right) said in an interview with FierceHealthPayer: AntiFraud. "This, again, is consistent with what CMS has done recently."
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