Medicare Improper Payment Reduction Efforts – Provider

1.3 – Medicare Improper Payment Reduction Efforts – Provider Compliance (Rev. 508; Issued: 03-07-14, Effective: 04-08-14, Implementation: 04-08-14) The Centers for Medicare & Medicaid Services (CMS) is the Federal agency that operates the Medicare program. Addressing improper payments in the Medicare fee-for- service (FFS) program and promoting compliance with Medicare coverage and coding rules is a top priority for the CMS. Preventing Medicare improper payments requires the active involvement of every component of CMS and effective coordination with its partners including various Medicare contractors and providers. The CMS contracts with various types of contractors in its effort to fight improper payments and promote provider compliance in the Medicare FFS program: • CERT contractors; • MACs; • Recovery auditors; and • SMRC.