The Centers for Medicare and Medicaid Services (CMS) recently issued a final rule that provides more authority for CMS to address fraud, waste, and abuse in federal health insurance programs including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). The new rule aims to bolster the ability of CMS to fight fraudulent or other inappropriate activity before it happens and before providers are paid.
Topic(s): Centers for Medicare and Medicaid Services (CMS), Medicare, Medicaid, Children's Health Insurance Program (CHIP), Office of General Inspector (OIG), secretary of health and human services, Provider Enrollment, Chain, and Ownership System (PECOS)