Federal healthcare reform in 2010 called for a greater emphasis on fraud and abuse enforcement both in a retrospective manner after problems have been identified as well as in a more “real-time” manner as claims are submitted for processing by the contractors affiliated with the Centers for Medicare & Medicaid Services (CMS).
Much of the real-time work is being done quietly behind the scenes within CMS. The data crunching and analysis, identification of problematic patterns in the data, and the coordination of federal program anti-fraud efforts, is being conducted by the CMS Center for Program Integrity.
What is the Center for Program Integrity? What does the Center do? What does the Center plan to do? How might the Center’s work soon impact your clients, if it hasn’t already? Why is a working knowledge of Program Integrity important to your practice?
To learn more about the new work CMS is conducting to address fraud and abuse issues, listen to this roundtable discussion with Fraud Practice Group Chair Mark Bonanno. Mark’s guest was CMS Deputy Administrator for Program Integrity Dr. Peter Budetti.
This event was part of a roundtable discussion series sponsored by the Fraud Practice Group, and was held in a teleconference and webinar format that permitted us to have an informal conversation.
- Dr. Peter Budetti
Deputy Administrator for Program Integrity
Centers for Medicare & Medicaid Services, Baltimore, MD
Note: CLE credits are not available for this call.