2017 Fraud and Abuse Forum Call for Volunteers

By mid-2017, the Fraud Reduction Act require agencies to establish financial and administrative controls to identify and assess fraud risks and to design, implement, track and report control activities to prevent, detect, and respond to fraud, including improper payments.   Agencies have developed internal monitoring mechanisms and systems to identify fraud.  The concern is that it is still occurring and there has been discussion as to whether more of an enterprise system should be developed.

Objectives of Forum:  Identify the government problems and challenges on healthcare fraud and how they are currently addressing these factors; Can the “Act” assist?; What are the barriers and issues to implementation?; and is a government-wide payment integrity approach, governance, and solution doable and needed?