Anti-Fraud Bills Get Thumbs Up

WASHINGTON — AAHomecare reported last week that two
anti-fraud bills are moving through Congress.

Introduced by Sen. George LeMieux, R-Fla., S. 2128 requires the
use of real-time data monitoring technologies to analyze and detect
fraudulent Medicare claims before they are paid, incorporating one
of the recommendations in the association’s 13-point
anti-fraud legislative action plan. The predictive modeling
provision was included in the small business lending bill, which
has passed both the House and Senate and now awaits the president’s
signature.

H.R. 6130, introduced by Reps. Pete Stark, D-Calif., and Wally
Herger, R-Calif., would authorize HHS to exclude executives whose
companies are convicted of fraud from doing business with Medicare.
The legislation also addresses the problem of fraudulent companies
setting up shell companies to insulate themselves from liability.
The measure passed the House and has now been referred to the
Senate.