On February 1, 2010, the Obama Administration transmitted its proposed fiscal year (FY) 2011 budget to Congress. The budget requests $1.7 billion to fight health care fraud, including $561 million in Health Care Fraud and Abuse Control discretionary funding, which is a $250 million increase over the FY 2010 enacted level.  Among other things, this discretionary allocation adjustment is designed to: Expand the Health Care Fraud Prevention &... 

Below are the top ten Medicare Update posts during January 2010 (based on the number of views): 1)   CMS Proposes Meaningful Use Definition and Standards for Electronic Health Record Incentives Program 2)   DOJ/HHS to Hold National Summit on Health Care Fraud 3)   New Requirements Cause Thousands of DMEPOS Suppliers to Exit Medicare Program 4)   Region D Medicare Recovery Audit Contractor Adds More CMS Approved Audit Issues 5)   Region... 

On January 28, 2010, Senator Charles Grassley introduced the Strengthening Program Integrity and Accountability in Health Care Act (S.2964), which includes provisions aimed at fighting fraud, wasted and abuse in Medicare, Medicaid and the Children’s Health Insurance Program. In brief, Senator Grassley’s Press Release indicates that S.2964 includes provisions that would: Deter fraud with enhanced screening to improve the government’s... 

On January 28, 2010, the Department of Health and Human Services (HHS) and Department of Justice (DOJ) held a National Summit on Health Care Fraud (Summit).  In remarks at the Summit , Attorney General Eric Holder reported that the DOJ reached an all time high in the number of health care fraud defendants charged in 2009 (over 800), obtained more than 580 convictions, and that health care …  Read More →

On January 28, 2010, the Department of Health and Human Services and Department of Justice will hold a National Summit on Health Care Fraud (Summit).  The Summit will be an all-day session to bring together public and private sector leaders to discuss and find ways to eliminate health care fraud. According to the Summit’s website , this is an invitation only event. For more information on the Summit (including agenda and speakers), visit... 

On January 14, 2010, the Department of Justice (DOJ) and Federal Bureau of Investigation announced in a Press Release that 13 Detroit, Michigan area residents were arrested by Federal agents in connection with an alleged scheme to defraud the Medicare program of more than $14.5 million. According to the Press Release , the alleged Medicare fraud scheme involved 2 home health agencies, which purportedly billed for home health therapy services that...