tci Medicare Compliance & Reimbursement - 2012 Issue 21

Know Your Facts: These Stats Keep You On Investigators' Radar

Number of HHA subjects investigated skyrocketed 125 percent in five years.Federal investigators are using statistics like these from a new Government Accountability Office report when deciding where to focus their scrutiny:Of the criminal cases pursued by 10 Medicaid Fraud Control Units, home health care providers comprised nearly 40 percent of criminal convictions and 45 percent of subjects sentenced in 2010.Federal criminal cases focused on 639 home health agency subjects in 2010. The only two provider categories higher than that were 1,275 from durable medical equipment suppliers and 1,908 from medical practices, medical centers and clinics...

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.