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Medicare Parts C & D Fraud Alert: Payment Suspension for Billing for Medically Unnecessary Services and Kickback Payments

Guidance for All Medicare Advantage Organizations and Part D Plan Sponsors to the fact that the Office of Investigations, Office of Inspector General (HHS-OIG) has made allegations that twelve (12) different providers are engaged in schemes to defraud the Medicare Parts C and D programs.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 30, 2014

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.