tci Medicare Compliance & Reimbursement - 2022 Issue Q2

Enforcement: Feds Double Down Scrutiny of COVID Fraud

Plus: See the biggest Medicare fraud cases. If you thought healthcare fraud enforcers primarily focused on upcoding and unbundling, think again. The reality is that the HHS Office of Inspector General (OIG) is always looking for issues to investigate, and a new report suggests COVID-19-related fraud and abuse are its prime target. Background: The OIG reports on fraudulent and abusive healthcare behavior that impacts federal healthcare programs in its Semiannual Report to Congress. The agency’s most recent report focuses on incidents, enforcement, and takedowns from Oct 1, 2021 to March 31, 2022, with COVID-19 a central proponent of...

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