tci Medicare Compliance & Reimbursement - 2008 Issue 38

Compliance: OIG Reaps $20.4 Billion In Errors, Fraud This Year

Agency combing through everything from injections to consulting agreements. In its semiannual report to Congress issued on Dec. 3, the Office of the Inspector General (OIG) reported that it recovered over $20 billion in fiscal year 2008 -- much of which reflects dollars recouped from physicians who billed improperly. The report lists several audit and investigation highlights that allowed the OIG to recover such huge amounts of money, and many of them may surprise you. For example: The OIG found that a whopping 63 percent of facet joint injection claims didnt meet the program requirements, totaling $96 million in...

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