Report: Antifraud compliance getting tougher for hospitals

A new report from the Deloitte Forensic Center argues that it's getting increasingly difficult for hospitals to comply with state and federal anti-fraud rules given the surge in new anti-fraud legislation. Laws and regulations designed to limit Medicare and Medicaid abuse have proliferated, while disclosure rules keep expanding, the consulting firm notes. Not only that, more regulation still may be in store. Regulators are paying increasingly close attention to relationships doctors have with hospitals and health systems, imaging centers, DME suppliers and other health professionals. For example, regulators recently began an information collection program that requires about 500 hospitals to file detailed reports on their contractual relationships with doctors.

To learn more about this issue:
- read this HFMA News item [1]

Related Articles:
HHS seeks comments on model EHR anti-fraud standards [2]
IT key to fighting Medicare, Medicaid fraud [3]