Beware of government’s authority to suspend Medicare payments

Early in 2011 CMS published regulations that went virtually unnoticed by the provider community, but could have a profound impact on any provider affected by them.Under the provisions of Title 42, Code of Federal Regulations, section 405.371, either CMS or a Medicare contractor may suspend all Medicare payments to a provider if CMS or the contractor has “reliable information” that an overpayment exists, or that there is suspected fraud based on a “credible allegation of fraud.”

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