Medicare Scam Prosecutions Stepped Up

July 19, 2010 at 2:00 pm 4 comments

By now you’ve seen the headline, 36 Arrested in Medicare Scams Totaling $251 Million.  With 94 suspects indicted and 36 arrested, the perpetrators include clinic owners, medical staff, patients, and more.

Whether or not something occurred at a hospital, the prospect of dealing with an investigation is enough to spur action.  The Affordable Care Act gives federal officials to authority to stop paying a provider suspected of fraud, a significant change from the pay first, investigate later position of the past.

The vast majority of vendors and hospitals behave responsibly.   But in a stepped up enforcement environment like this, neither side wants to be caught in the middle.  A solid vendor compliance program integrates internal and external requirements — from managing the CMS’ monthly sanction list checks to conflict of interest disclosures to linking the individual serving the account to the employer — and protects both the buyer and seller.

Now is the time to assess your vendor selection, credentialing, and compliance activities and include the businesses and clinics that support your operations.  If you’re ever caught up in an investigation, you’ll have evidence of your due diligence at your finger tips.

Entry filed under: Medicare/Medicaid CMS, Uncategorized, vendor credentials, vendor management.

Monthly Screening Requirement Alert It’s Not the Economy, It’s the Relationship

4 Comments Add your own

  • 1. free phone number search by name  |  March 12, 2013 at 11:06 pm

    Today, I went to the beach front with my children. I found a sea
    shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell
    to her ear and screamed. There was a hermit crab inside and it pinched her ear.
    She never wants to go back! LoL I know this is entirely off topic but
    I had to tell someone!

  • 2. phone book white pages  |  May 4, 2013 at 10:26 pm

    Hola! I’ve been reading your weblog for a while now and finally got the courage to go ahead and give you a shout out from Humble Texas! Just wanted to mention keep up the excellent job!

  • 3. Rhinoplasty Top Surgeon  |  June 5, 2013 at 6:25 pm

    If you desire to improve your knowledge only keep visiting this web site and be updated with the latest news
    update posted here.

  • 4. säkerhetsdörr  |  June 5, 2013 at 10:47 pm

    It’s hard to find educated people in this particular topic, however, you seem like you know what you’re talking about!


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

Trackback this post  |  Subscribe to the comments via RSS Feed

Upcoming Events

Sign up for Vendormate News

2013 Vendor Credentialing Summit
August 14 - 15, 2013

July 28-31, 2013
San Diego, CA
Booth 1121

Recent Posts

Archived Posts

Vendormate on Twitter

Error: Twitter did not respond. Please wait a few minutes and refresh this page.