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- The ACA increases screening requirements for providers that want to participate in Medicare, Medicaid, and CHIP; enhances penalties for violations; facilitates data sharing among various health programs; imposes new requirements for claims; expands the authority of the Recovery Audit Contractor (RAC); and appropriates additional funding for efforts to combat fraud.
medicareadvocacy.org/combating-fraud-waste-and-abuse-in-health-care/
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How does the Affordable Care Act protect consumers and taxpayers?
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Feb 26, 2016 · The Affordable Care Act has helped the Government Fight Fraud, Strengthen Health Insurance Programs, Protect Consumers, and Save Taxpayer Dollars. The Obama Administration is committed to reducing fraud, waste, and abuse across the government.
Jan 18, 2017 · In FY 2016, CMS continued its use of the Affordable Care Act authority to suspend Medicare payments to providers during an investigation of a credible allegation of fraud. CMS also has authority to suspend Medicare payment if reliable information of an overpayment exists.
Feb 26, 2016 · The Affordable Care Act Has Helped the Government Fight Fraud, Strengthen Health Insurance Programs, Protect Consumers, and Save Taxpayer Dollars. The Obama Administration is committed to reducing fraud, waste, and abuse across the government.
Nov 13, 2017 · The purpose of this research was to determine how recent reforms, especially the Patient Protection and Accountable Care Act, may affect Medicare fraud and abuse and to uncover the best strategies to combat Medicare fraud.
- Sarah Clemente, Ronald McGrady, Robert Repass, David P. Paul, Alberto Coustasse
- 2018
Prevention of Medicare and Medicaid fraud can be accomplished through several strategies at policy, practice, and grassroots levels. Efforts to curb this fraud at the policy level can be especially useful in combating identity theft and drug diversion.
Comprehensive fraud and abuse efforts must be both preventative and detective to address the overwhelming amount of fraud and abuse adequately. By shifting the primary focus of Medicare fraud and abuse reduction efforts from detection to prevention the US will pay out less up front to providers.
May 26, 2011 · The Affordable Care Act ("ACA"), the health reform legislation passed in 2010, contains fraud, waste and abuse provisions to aid the federal government in combating improper payments in Medicare, Medicaid and the Children's Health Insurance Program ("CHIP"). The ACA increases screening requirements for providers that want to participate in ...
