Among enrollment screening gaps, provider revalidation combats abuse

Revalidation screening for Medicare enrollment helped weed out a substantial number of ineligible providers, but the Centers for Medicare & Medicaid Services still struggles to prevent illegitimate providers from enrolling in Medicare, according to a report from the Office of Inspector General.

Although revalidation enhancements triggered a substantial increase in revocations and deactivations, federal investigators were unable to "conclusively" determine whether enhancements prevented ineligible providers from enrolling in Medicare in the first place. >> Read the full article on FierceHealthPayer: AntiFraud.

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