CMS Implementing New Methodology To Detect Improper Payments, Official Says

The Centers for Medicare & Medicaid Services will be implementing a new methodology for determining the extent of fraud within durable medical equipment and home health in the next six to eight months, a CMS official said during a July 28 House hearing.

“We’re going to try to estimate the fraud in durable medical equipment as well as home health,” A. Michelle Snyder, the CMS deputy chief operating officer, said during the hearing of the House Oversight and Government Reform Subcommittee on Government Organization, Efficiency, and Financial Management.

Snyder said the private sector would help build the new methodology, which ...