CMS: Audits to Return in August

A person holding an audit sign in their hands.

After a five-month reprieve, the Centers for Medicare & Medicaid Services (CMS) says that as of Aug. 3, 2020 it will resume most Medicare Fee-For-Service (FFS) medical reviews that it suspended in March because of the COVID-19 pandemic. This includes pre-payment medical reviews conducted by Medicare Administrative Contractors (MACs) under the Targeted Probe and Educate…

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COVID-19 Related Fraud Heating Up

A stethoscope and mask with the word fraud written on it.

Five months into the COVID-19 pandemic and the number of enforcement actions against companies and individuals who have received COVID-19 relief funds continues to grow. In the following case, investigators allege the suspect mixed it up by allegedly violating both anti-kickback laws and committing relief fund fraud. According to the complaint, Carlos Belone of Coconut…

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