Monday, November 8, 2010

New York's Health care Fraud Summit

On November 5 in Brooklyn, NY, the department of Health and Human Service’s Secretary Kathleen Sebelius and U.S Attorney General Eric holder participated in a health care fraud prevention summit. The summit is one of a series of summit organized by the health care fraud prevention and enforcement action team (HEAT), a fraud prevention team created by HHS and the attorney general’s office, to build further support in preventing health care fraud. The team hopes “to work with patient to protect the patient’s medical information, to work with providers to strengthen screening standards and to work with private insurers to share strategies about how to prevent fraud”

In her speech to the summit participants, Secretary Sebelius mentioned two things that will be useful in combating fraud; the first is a new center for program integrity that was created at the Centers for Medicare and Medicaid services earlier this year and the accordable care act, which she calls one of the strongest fraud prevention laws in American history.
To combat health care fraud they hope to do the following by:

*Making it easier for law enforcement officials to see health care claims data from around the country,

*Combining all Medicare-paid claims into a single searchable database and analyzing claims in real time to flag potential scams,

* Targeting overpayments, which can be an appealing target for criminals by,
- establishing competitive bidding for medical equipment,
- running television advertisements asking everyone to stay wary and to monitor their
medical bills,
- strengthening the Senior Medicare Patrol which empowers senior citizens to protect
themselves,
- and by providing new physicians with a copy of a green packet titled “ A Roadmap for new Physicians”, a packet explains the health care laws that applies to physicians so that the can comply with federal laws and be able to spot fraud.

Source:
http://www.hhs.gov/secretary/about/speeches/sp20101105.html

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