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.