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 CMS Chief Fraud Fighter Steps Down

​Peter Budetti, MD, JD, director of the Centers for Medicare & Medicaid Services’ (CMS’) Center for Peter Budetti, MD, JD
Program Integrity, will step down from his post this next week, according to a report from Inside Health Policy.

Budetti was interviewed by this magazine in June 2012 regarding the agency’s efforts to combat fraud, waste, and abuse in the nursing home setting and what providers should do to prevent audits.

The Q&A was part of Provider’s May 2012 cover story on Fraud and Abuse.

Under Budetti’s leadership, the agency implemented the Fraud Prevention System, which helped CMS shift its fraud-fighting efforts from chasing would-be bilkers to preventing them from getting into the program in the first place.

Perhaps most memorable for long term and post-acute care providers is Budetti’s role in ushering in the Zone Program Integrity Contractors (ZPICs), which were responsible for investigating providers suspected of fraud. Unlike other contractors, which investigated via audits and referred suspects to law enforcement entities, ZPICs, for a time, were empowered with the controversial power to suspect payments to providers indefinitely.

Budetti’s last day is expected to be on Wednesday, Sept. 11.

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