HHS Inspector General Recommends CMS Respond to Fraud Hotline Complaints More Promptly
At least one year after receiving complaints through 1-800-HHS-TIPS, 12 percent of complaints remained unresolved, according to the report. CMS has no required time-frame within which contractors should resolve complaints. For instance, contractors began work on a 58 percent of complaints within 30 days of receipt. For 29 percent of complaints, however, contractors took more than four months to begin review.
Along with firmer guidelines regarding the time-frame of complaint resolution, the OIG recommends CMS ensure its information system tracks user activity on each complaint and sends out alerts when a complaint has not been assigned to a contractor.
Read the OIG report on CMS' fraud complaint hotline.
Read more about government agencies and healthcare fraud:
- CMS Discusses Focus to Prevent "Bad Actors" From Participation in Medicare, Medicaid
- CMS Publishes Final Rule on Fraud Prevention and Regulations
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