Dermatologists are high on the DOJ and CMS investigations this year as they worked to recover more than $2.5 billion in Medicare fraud cases.

Dermatologists are high on the DOJ and CMS investigations this year as they worked to recover more than $2.5 billion in Medicare fraud cases.

MOHS services targeted for audit in 2019.  Dermatologists are high on the DOJ and CMS investigations this year as they worked to recover more than $2.5 billion in Medicare fraud cases. Compliance services such as MyMeducator.com staff e-learning programs, external chart audits, and outside compliance specialists like HMCExperts.com have helped many providers avoid these costly mistakes.

 

The US Department of Justice (DOJ) and the Centers for Medicare & Medicaid Services (CMS) are increasingly investigating dermatologists for alleged Medicare fraud and abuse related to Mohs surgery as part of ramped-up provisions of the Patient Protection and Affordable Care Act to recover part of an estimated $100 million annually in health care fraud from all physicians.1 The number of cases and dollar amount recovered from all Medicare fraud cases has increased from 247 cases and $1.1 billion recovered in 2000 to 645 cases and $2.5 billion recovered in 2017.