tci Medicare Compliance & Reimbursement - 2019 Issue Q3

Enforcement: OIG Doubles Down on False Claims

Report highlights importance of medical necessity. If you’ve ever wondered whether the U.S. Department of Health and Human Services Office of Inspector General (OIG) collects on its audits and investigations, a new report answers that question — and the numbers are staggering. In its latest Semiannual Report to Congress, which covers OIG activity for the reporting period that runs from October 1, 2018 to March 31, 2019, the federal watchdog expects to recover $496 million from audits and $2.30 billion from investigations. Other numbers from this first part of the 2019 fiscal year include: Civil actions:...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.