The HEAT team will include senior officials from DOJ and HHS and will focus on the prevention of fraud. The team will implement site visits to potential durable medical equipment providers, increase training for healthcare providers on Medicare compliance, improve data sharing between CMS and law enforcement and strengthen program integrity activities to monitor Medicare Parts C and D compliance and enforcement.
Additionally, joint DOJ/HHS Medicare Fraud Strike Force teams, which target Medicare fraud at a local level, will be expanded to Detroit and Houston. The teams are currently active in South Florida and Los Angeles. These teams use a “data-driven” approach to identify unexplainable billing patterns and investigating these providers for possible fraudulent activity, according to the release.
Read the DOJ release on the new DOJ/HHS effort to reduce healthcare fraud.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
