Tougher Health Fraud Prevention Measures Proposed

The Centers for Medicare and Medicaid Services (CMS) has released a proposed rule that would implement new anti-fraud measures on physicians and medical suppliers. The proposed rule carries out provisions of the Patient Protection and Affordable Care Act. The proposal would bolster physician and supplier screening procedures, including; 1) new licensure and database checks, 2) unannounced site visits, 3) criminal background checks and fingerprinting for certain risk categories, and 4) a $500 application fee for hospitals beginning March 23, 2011. CMS is looking to create consistent screening standards with the proposed rule by designating physician and supplier categories, and will accept comments until November 16, 2010.

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