Found this information on the Family Medicine SmartBrief:
Lawmakers criticized the CMS for not doing enough to eliminate fraud, waste and abuse in the Medicare and Medicaid programs. Reports from the Office of Inspector General show that fingerprint-based criminal background checks were not used in 37 states and site visits were not done in 11 states prior to Medicaid enrollment. The OIG also found that 12% of health care professionals terminated for cause in 2011 were still active in Medicaid programs of other states in 2012 because there is no comprehensive CMS database to identify terminated clinicians.
The article is located here. I found some more delicious tidbits:
Investigations by the Government Accountability Office found flaws in the software the CMS uses to verify providers addresses, leading to more than 26,000 providers with addresses not matching any on file with the U.S. Postal Service.
Once again the government is the perfect one NOT to put in charge of our healthcare system. Can you imagine an insurance company slipping up like this? Even though I hate them it doesn’t mean I don’t respect them for running a tight ship. Remember this post of the doctor wouldn’t do the MOC? Yeah, the insurance companies got her right away. And she did nothing wrong!Tweet