Doctors’ secret PIN

 

While Medicare regulations are a tangle of daunting legalese, the Centers for Medicare/Medicaid Services (CMS) could squash Medicare fraud by enabling the prescribing doctors to guard the gates.

Medicare issues a unique pin number through Florida’s Agency for Health Care Administration (AHCA) to prescribing doctors. In order to bill electronically, a service provider must have a valid PIN from a doctor and a Medicare ID number from a qualified recipient. Thieves are stealing those two things or colluding to get them.

The Unique Physician Identification Numbers (UPIN) are not now secured since they appear on authorizing paperwork and some public websites.

Why not have doctors issue referrals for treatments, copy CMS or AHCA electronically and when referral for treatment is presented the providers must log on and click on the referral number that designates the UPIN surreptitiously? Make the doctors responsible and pay them for extra paperwork.

Robert Dollar, Miami

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