tci Medicare Compliance & Reimbursement - 2016 Issue 12

Enforcement: HEAT Nets 5-Fold Increase in CMP Recoveries

Enforcements help honest providers flourish, says OIG. Can you prove that every service you’re billing for was actually rendered, is documented, medically necessary, and properly coded? The HHS Office of Inspector General (OIG) means business and is not letting up on its pursuit of fraud. “We pursue enforcement where appropriate, which helps honest providers flourish by weeding out wrongdoers,” says Inspector General Daniel R. Levinson in the OIG’s latest report on why the agency aggressively pursues offenders. $2.77 billion — that’s the amount OIG recovered for HHS programs’ misappropriations for this first half...

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