HHS OIG recommends that CMS require MAOs to submit NPIs for ordering providers. Explore the reasons why this information would be helpful to prevent FWA, and the concerns from payers in regard to the accuracy of CMS encounter data.
Tag: Medicare Advantage
Are you monitoring your First Tier, Downstream, and Related Entities (FDRs)? Read on to find out how to automate exclusion screening for FDRs.