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November 2018

Avoiding and Managing Medicare Fraud and Abuse Investigations of Mohs Surgery: Mohs in the Crosshairs

Author Affiliations
  • 1Morsani College of Medicine, University of South Florida, Tampa
  • 2College of Public Health, University of South Florida, Tampa
JAMA Dermatol. 2018;154(11):1249-1250. doi:10.1001/jamadermatol.2018.2402

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 2017.1

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