tci Medicare Compliance & Reimbursement - 2009 Issue 10

INDUSTRY NOTES : OIG Opened 1,750 New Health Care Fraud Investigations During 2008

Plus: OIG investigation finds that eye surgeons collected $97.6 million for E/Ms that they didn't actually provide. If you thought the recovery audit contractor (RAC) program would mean that the OIG was getting less aggressive, think again. According to May 6 testimony by Inspector General Daniel R. Levinson before the Senate Special Committee on Aging, the OIG is continuing to step up its enforcement actions. Of the $2 trillion that the U.S. spends on health care each year, at least three percent (or over $60 billion annually) is lost to fraud, Levinson estimated. To that end, the...

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