tci Medicare Compliance & Reimbursement - 2019 Issue 1

Enforcement: OIG Targets Opioid Fraudsters in New Report

Telehealth misuse is now on the agency’s radar screen. Over the last year, the feds have ramped up their enforcement against those who aim to buck the Medicare system. And a new release suggests fraudsters will find themselves charged, excluded, or behind bars. In its Semiannual Report to Congress, released last month, the HHS Office of Inspector General (OIG) reported that enforcement and recovery activities for fiscal year (FY) 2018 were “impressive.” OIG expects audit recoveries to be around $521 million while issuing “reports with $2 billion in questioned costs,” the agency said. Background:...

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