The elimination of Medicare and Medicaid fraud should be a top priority as the Department of Health and Human Services implements health care reform programs, according to a new report
The report from the Office of the Inspector General found that while the HHS has improved its efforts to screen health care providers, it must find “a more flexible screening approach, tailoring screening measures to fraud risks, and classifying re-enrolling durable medical equipment and home health providers as ‘high risk.’”
It also recommends that HHS
continue to recoup improper Medicare and Medicaid payments and monitor payment systems for suspicious claims and warning signs of improper payments.
In fiscal year 2010, HHS reported $70 billion in improper payments for Medicare fee-for-service, Medicare Advantage, and Medicaid, the report said.