Provider Compliance


The Medicare Learning Network® (MLN) has released a new package of products designed to educate physicians and other Medicare and Medicaid providers about medical identity theft and strategies for addressing it. These products include a web-based training course that is approved for Continuing Education (CE) credit. For more information, scroll down to the Downloads section and click on the ‘Medicaid Program Integrity: Safeguarding Your Medical Identity Educational Products’ link.

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The Medicare Learning Network® (MLN) Products Provider Compliance page contains educational products that inform Medicare Fee-For-Service (FFS) providers on how to avoid common billing errors and other improper activities when dealing with the Medicare Program. Since 1996, the Centers for Medicare & Medicaid Services (CMS) has implemented several initiatives to prevent improper payments before a claim is processed and to identify and recoup improper payments after the claim is processed. The overall goal of CMS' claim review programs is to reduce payment error by identifying and addressing billing errors concerning coverage and coding made by providers.

The MLN products and MLN Matters® Articles on this page are designed to provide education on common billing errors and other improper activities identified through the various claim review programs and help Medicare FFS providers avoid such errors. To download a list of related articles and products, including the “Medicare Quarterly Provider Compliance Newsletter,” which highlights the top issues of that particular quarter, go to the “Downloads” section below.  These lists are updated as new products and articles are developed and existing products and articles are revised.

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