“In its December 2017 report, GAO found that the Centers for Medicare & Medicaid Services’ (CMS) antifraud efforts for Medicare partially align with GAO’s 2015 A Framework for Managing Fraud Risks in Federal Programs (Framework) in its guidance to agencies on addressing fraud risks…”
“Consistent with the Framework, GAO determined that CMS had demonstrated commitment to combating fraud by creating a dedicated entity to lead antifraud efforts…”
“CMS took some steps to identify fraud risks in Medicare; however, it had not conducted a fraud risk assessment or designed and implemented a riskbased antifraud strategy for Medicare as defined in the Framework…” Read the full report here.
Source: Medicare – Actions Needed to Better Manage Fraud Risks – July 17, 2018. GAO.gov.
