Medicare Raises Standards for Contractor Claim Reviews

Thomas Herrmann | September 2010

In response to recommendations by the Department of Health and Human Services Office of Inspector General (OIG), the Centers for Medicare & Medicaid Services (CMS) issued new instructions for Medicare contractors in the Medicare Program Integrity Manual (PIM).  Providers and Suppliers should become familiar with and develop strategies for complying with these medical review standards.

About the Author

Thomas Herrmann advises health care clients on compliance and regulatory matters, with a focus on development and management of effective health care compliance programs. Mr. Herrmann is a recognized expert on issues related to the federal Anti-Kickback Statute, Stark Law and the False Claims Act.