tci Medicare Compliance & Reimbursement - 2024 Issue Q2

Enforcement: OIG Maintains Spotlight On Managed Care Mayhem

Latest report has a new look and offers insight into the agency’s top targets. Since 2022, the HHS Office of Inspector General (OIG) has issued 30 reports that target Medicare Advantage compliance, nine specifically in the last year. And a new release suggests OIG’s increasing interest in managed care is only going to get more intense. Context: The OIG outlines fraudulent and abusive behavior that impacts federal healthcare programs in its Semiannual Report to Congress over a specific time period. The agency’s most recent report, which was released on June 3, focuses on incidents, enforcement, and...

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