tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Industry Note: Check Out OIG’s Revamped Fraud Risk Indicator

According to the feds, Medicare fraud is measured through False Claims Act (FCA) violations and settlements. A new tool helps worried providers figure out their risk factors. > The HHS Office of Inspector General (OIG) updated its fraud risk indicator tool, which outlines the five different risk categories associated with healthcare fraud. OIG uses published data to determine where fraudsters fall and to assess their future risks. The color-coded tool offers definitions and links to more resources depending on the risk level. > >Review the updated OIG tool at https://oig.hhs.gov/compliance/corporate-integrity-agreements/risk.asp.> ...

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