CMS: More Than 14k Providers Kicked Out of Medicare Since 2011

CMS has revoked 14,663 providers' ability to participate in Medicare since March 2011 due to fraud control efforts.

The providers were expelled from the program due to felony convictions, not operating at the address CMS had on file or non-compliance with CMS rules.

In 2008, two years before the Patient Protection and Affordable Care Act was passed, the number of healthcare providers kicked out of Medicare stood at only 6,307.

The PPACA established new screening and review requirements for Medicare participation. Since the law's enaction, Medicare revocations have doubled in 35 states and quadrupled in 18 states. Florida led the country in the number of revocations with 2,064. Texas (1,417) and Pennsylvania (1,077) also topped the list.

Along with these revocation figures, CMS also announced its newly redesigned Medicare Summary Notices for Medicare enrollees. The redesigned claims statements are said to be easier to review and are intended to help senior citizens better identify potential fraud, waste and abuse.

More Articles on Medicare Fraud:

Updated Fraud Self-Disclosure Protocol: 5 Considerations for Healthcare Providers
Feds Charge 89 People Across 8 Cities in Medicare Fraud Takedown
Medicare RAC Overpayment Collections Hit $4.5B Since 2009

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