Tackling Fraud, Waste, and Abuse in the Medicare and Medicaid Programs

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T ackling Fraud, Waste, and Abuse in the
M edicare and Medicaid Programs:
R esponse to the May 2 Open Letter to the Healthcare
Community

Dan Olson, CFE
June 2012

Tackling Fraud, Waste, and Abuse in the Medicare and Medicaid Programs

White Paper

C ontents
I. Introduction ............................................................................................................ 1
II. Recommendations................................................................................................... 3
Recommendation 1 – Expand the Medicare Fraud Strike Force Model....................................... 3
Potential Savings .......................................................................................................................... 4
Recommendation 2 – Expand Integrated Data Repository .......................................................... 4
Potential Savings .......................................................................................................................... 5
Recommendation 3 – Expand “Do Not Pay List” .......................................................................... 5
Potential Savings .......................................................................................................................... 6
Recommendation 4 – Publicize Drug Expiration Dates ................................................................ 6
Potential Savings .......................................................................................................................... 6
Recommendation 5 – Match Vital Records to SSA and State MMIS ............................................ 6
Potential Savings .......................................................................................................................... 7
Recommendation 6 – Require Provider Re-enrollment…...

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