Uncle Sam gets tough on billing and coding fraud

by • July 1, 2009 • UncategorizedComments Off on Uncle Sam gets tough on billing and coding fraud1500

© 2009 The Medical-Legal News

In mid-May President Obama signed the Fraud Enforcement and Recovery Act, which beefs up the False Claims Act that permits whistleblower suits, according to Modern Healthcare of May 25. FERA will greatly expand who can be charged with fraud, thus overturning the Allison Engine case, and fix statute of limitations problems.
A new task force has been created to “focus on tracking and sharing… data to more efficiently identify fraudulant billing….,” according to the article.
The Obama administration is boosting, by 50%, the amount of money dedicated to Medicare and Medicaid integity efforts, or $311 million. The article said this money will recoup $2.7 billion in provider overpayments over the next five years.
In short, the U.S. is making fraudulent claims a priority, and healthcare organizations could see more FCA suits, which will impact attorneys and consultants

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