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Medicare Fraud Audit Process Questioned

Posted 05.21.14

Some appeals take more than two years to be cleared

The House is looking into the manner in which Medicare Fraud is investigated. The current process allows auditors to flag cases and collect penalty payments prior to an appeals process. The appeals process can be burdensome and the wait to adjudicate can take up to or longer than two years. The system currently treats providers as guilty until proven innocent.

Other healthcare related news can be found in the May 21, 2014 NAHU Newswire.

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