Feds to Increase Reward to Medicare Fraud Tipsters to $9.9 Million

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The U.S. Department of Health and Human Services (HHS) wants to increase rewards paid to those who report suspected Medicare fraud from $1,000 to as much as $9.9 million.

Anyone who calls in a tip to HHS currently qualifies for a reward of 10 percent up to $1,000. Under the proposed changes, a person that provides specific information leading to the recovery of funds may be eligible to receive a reward of 15 percent of the amount recovered, up to nearly $10 million.

The proposed rule would also strengthen certain provider enrollment provisions including allowing HHS to deny enrollment of providers who are affiliated with an entity that has unpaid Medicare debt, deny or revoke billing privileges for individuals with felony convictions, and revoke privileges for providers and suppliers who are abusing their billing privileges.

A fact sheet on the proposed new rules can be found here. The proposed rule changes can be read in their entirety here.

Previously:

Greatest Weapon in Battle Against Medicare Fraud Turns 150

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Posted in Denials Management, Medical Receivables, Patient Financial Services .

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