Federal health care oversight officials are asking the Centers for Medicare and Medicaid Services to adopt prepayments and tougher enrollment requirements in situations where the government has not been properly reimbursed.
According to report by The Hill, leaders from the General Accountability Office and the Health and Human Services Office of Inspector General said CMS has taken key steps to cut down on fraud and abuse, but that more should be done.
In fiscal year 2013, improper payments in the Medicare program totaled around $50 billion, according to Kathleen King, the General Accountability Office’s director of healthcare. One area of concern was the Medicare Part D prescription drug program. Brian Ritchie, an acting deputy inspector general at the Health and Human Services Office of Inspector General, suggested requiring Part D drug prescribers to be enrolled in the Medicare fee-for-service program.
“If implemented it could help CMS, Part D plans, and the Medicare program integrity contractor enhance their monitoring and better prevent and detect Part D improper payments and potential fraud,” Richie said.
Read the full report.