CMS proposes rule to better reward Medicare fraud, abuse informants

04/25/2013 | Health Data Management

CMS has proposed a regulation that would raise the reward given to individuals who offer information on entities or people involved in Medicare fraud and abuse. The proposal, set to be published next week, would increase the reward to 15% of overpayments recovered by the agency in a case, compared with 10% or $1,000, whichever is less, under current rules. In addition, the rule would allow CMS to reject providers' Medicare enrollment if they are found to be affiliated with a group or person that has unpaid Medicare debt.

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