The United States Government Accountability Office (GAO) has issued a report on the anti-fraud efforts of the Centers for Medicare and Medicaid Services (CMS). GAO found that CMS did not effectively align its anti-fraud enforcement efforts with the typical recommended enforcement framework of: commit
, design and implement
, and evaluate and adapt
. GAO found that CMS only partially aligned these enforcement concepts with its identified fraud enforcement framework of distinguishing among mistakes, inefficiencies, bending the rules, and intentional deception. To read the GAO report on CMS anti-fraud efforts, use the first link below. To read highlights of the GAO report on CMS anti-fraud efforts, use the second link below.
(GAO report on CMS anti-fraud efforts)
(GAO highlights on CMS anti-fraud efforts)