tci Medicare Compliance & Reimbursement - 2017 Issue 24

Enforcement: Data Analysis Drives OIG's Biggest Takedown Ever

Feds continue to shine a spotlight on the opioid epidemic. Practices rely heavily on technology to help improve the delivery of care and expedite the claims submission process. For honest providers hoping to utilize the captured data to promote more informed care, health IT is an undeniable asset. However fraudsters looking to make a buck off Medicare may find that their digital footprints lead the OIG right to their doors. "By leveraging advanced analytic techniques to detect potential vulnerabilities and fraud trends," says Inspector General Daniel R. Levinson in the Office of Inspector General's (OIG) latest report on...

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