1)  Preventing fraud through effective enrollment and through  education of providers and beneficiaries;
2)  Early detection through, for example, medical review and data analysis;
3)  Close coordination with partners, including contractors and law enforcement agencies;
4)  Fair and firm enforcement policies.
 
The CMS' national objectives and goals as they relate to medical review are as follows:
 
1)  Increase the effectiveness of medical review payment safeguard activities;
2)  Exercise accurate and defensible decision making on medical review of claims;
3)  Collaborate with other internal components and external entities to ensure correct claims payment, and to address situations of fraud, waste, and abuse.
 
Harmony Healthcare provides guidance to many facilities for preparing accurate records which exemplify skilled care and services provided.