Report Potential Fraud, Waste and Abuse

In the News

• Proposed Delay for ICD-10
• Recoveries Totaling Nearly $4.1 Billion
• Proposed New Legislation: The Fast Act
• Proposed New Program Integrity Bill
• Proposed Rule to Permit Medicaid Data Mining for Fraud
• Reporting Fraud to the Kansas Attorney General's Office
• OIG’s Most Wanted Healthcare Fugitives
• Kansas receives $5.8 million in Medicaid recoveries

Program Integrity

• New Codes Grid 2/14/12
• CM PCCM Support Services FAQ (Updated 1/12/12)
• Free Provider OIG Training
• 3/25/11 New Rule: Medicaid Payment Suspension
• Kansas Attorney General
• Kansas Health Policy Authority
• Kansas Recovery Audit Contractor (RAC)
• Kansas Medicaid Integrity Contract (MIC)
• AAPS Licensure Standards
• Centers for Medicare and Medicaid Services (CMS)
• National Association of Medicaid Fraud Control Units (NAMFCU)
• Office of Inspector General (OIG)
• Tips for Chart Documentation October 2009

Kansas Laws and Regulations

• Kansas False Claims Act
• Kansas Crimes Affecting Governmental Functions (perjury)
• Kansas Notaries Public and Commissioners (unsworn declarations)
• Kansas Medicaid Fraud Control Act
• Kansas Crimes and Punishments

Federal Laws and Regulations

• Balanced Budget Act
• Deficit Reduction Act
• Federal False Claims Act (2008 correction)
• Federal False Claims Act (original)
• US Title 18 Crimes and Criminal Procedures
• Federal Regulation 42 Title VI (included Medicaid Managed Care part 438)
• Federal Regulation 42 Title IV (Medicaid Program Integrity part 455)
• Fraud Enforcement and Recovery Act
• Patient Protection and Affordable Care Act
• Health Information  Portability and Accountability Act (HIPAA)
• Health Information Technology for Economic and Clinical Health Act (HITECH)
• NOMS Hearth Act