In written remarks delivered to a House subcommittee, the director of the Government Accountability Office criticized the CMS for not following past recommendations to stem the tide of fraud in healthcare. Such anti-fraud measures include removing Social Security numbers from Medicare cards to make identity theft more difficult, requiring providers in high-risk areas to post surety bonds and integrating the CMS' existing predictive-analytics system for fraud into existing IT systems.
GAO Healthcare Director Kathleen King said in remarks (PDF) to the House Committee on Energy and Commerce's Subcommittee on Health that healthcare fraud-fighting remains an ongoing struggle for the CMS as fraud schemes continue to proliferate. Among these are schemes involving billing for services not rendered or not medically necessary, upcoding, paying kickbacks to doctors and theft involving Medicare beneficiaries' stolen identities.
"Although CMS has taken some important steps to identify and prevent fraud, including implementing provisions of in (the Affordable Care Act), more remains to be done to prevent making erroneous Medicare payments because of fraud," King said.