Dermatologists are high on the DOJ and CMS investigations this year.
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.
