tci Medicare Compliance & Reimbursement - 2012 Issue 13

Enforcement: OIG Bags $1.2 Billion For Medicare in Massive 6-Month Dragnet

There may be more criminal actions and exclusions on the horizon.Medical practices across the country have come under OIG scrutiny resulting in millions being recouped from oversight efforts, recommendations, investigative efforts, and audit recovery. The OIG has reported in its 2012 Semiannual Report, that the agency recouped $1.2 billion from Medicare overpayments through as many as 1,264 exclusions and 388 criminal actions.The report, which covers OIG actions between Oct. 1, 2011, and March 31, 2012, outlines common enforcements, such as those on durable medical equipment (DME) suppliers, as well as new targets."We are using...

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