Tuesday, April 14, 2015

PRIME Act Reintroduced

Dianne De La Mare

On March 25, 2015, a bipartisan group of US Senators reintroduced the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act. The Act seeks to increase oversight of billing procedures, recovery audit contractors and transfers of personally identifiable information.

Among its provisions, the Act would enact stronger penalties for Medicare and Medicaid fraud and curb improper or mistaken payments made by Medicare and Medicaid. It would establish stronger fraud and waste prevention strategies within Medicare and Medicaid to help phase out the practice of "pay and chase” and curb the theft of physician identities. It also expands the fraud identification and reporting work of the Senior Medicare Patrol and takes steps to help states identify and prevent Medicaid overpayments and improve the sharing of fraud data across state and federal agencies and programs.

To see a factsheet of the legislation go to http://www.hsgac.senate.gov/media/majority-media/senators-carper-coburn-and-congressmen-roskam-carney-lead-bipartisan-effort-to-combat-billions-of-dollars-in-waste-fraud-and-abuse-in-medicare-and-medicaid. To see the legislation go to go to https://www.congress.gov/bill/114th-congress/house-bill/818/text.


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