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Hello, OIG?

Special fraud alert on telemarketing just doesn't make sense.

Washington Wisdom by Cara C. Bachenheimer

Choose Your Own Terms

And don't blame everything on Walmart.

Better Business by Wallace Weeks

Move into Action

Make sure your 2010 to-do list doesn't turn into a 'didn't-do' list.

Sales Notebook by Louis Feuer

Time Flies

Is it time to conduct your annual performance evaluations?

Accreditation Now by Mary Ellen Conway

RAC 'Em Up

The permanent RAC program has now rolled out.

Law School by Jeffrey S. Baird

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Cover Story

Still Betting on Sleep Therapy

Following CMS' new coverage mandates, a recent survey shows providers are working harder with patients all the way.

Marketplace

Cornyn Wants Anti-Fraud Measures in Health Reform Bill

WASHINGTON--At the June 2 American Association for Homecare’s Legislative Conference, Sen. John Cornyn, R-Texas, said he hoped any health care reform legislation put together by Congress would include Medicare anti-fraud initiatives.
 
Along with Sen. Mel Martinez, R- Fla., Cornyn introduced an anti-fraud bill called the Senior and Taxpayers Obligation Protection (STOP) Act (S. 975) in May. The proposed legislation includes measures that would stop fraud in the government’s health programs “on the front end,” Cornyn said, rather than trying to recoup inappropriate payments.
 
The bill includes a number of provisions outlined in AAHomecare’s 13-point anti-fraud proposal, which the group recommended to lawmakers in February
 
Among others, those points include better screening of providers before enrollment and real-time analysis of claims data (similar to that used in the analysis of credit card charges) to pinpoint billing patterns that could indicate fraud or abuse.
 
On the larger health care reform debate, Cornyn said lawmakers should not be in such a hurry to get a bill to the White House.
 
Senate Finance Committee Chairman Max Baucus, D-Mont., has said he wants a bill ready for Senate approval by July. “I can't imagine how we're going to meet that timetable,” said Cornyn, who serves on the committee. He told the AAHomecare audience he thought not taking more time in putting the massive reform package together could result in “mistakes.”
 
Read the text of the STOP Act here.
 
For more on AAHomecare’s 13-point plan, see “One More Time: AAHomecare Rolls Out Anti-Fraud Plan,” Feb. 11.

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