tci Part B Insider - 2019 Issue Q3

Enforcement: OIG Targets False Claims in New Report

Don’t underestimate the importance of proving medical necessity. If you’re waiting for the feds to lighten up their fraud-fighting efforts, you’ll be waiting a long time. A new report highlights audits and investigations — and the numbers are staggering. In its latest Semiannual Report to Congress, which covers HHS Office of Inspector General (OIG) activity for the reporting period that runs from Oct. 1, 2018 to March 31, 2019, the federal watchdog expects to recover $496 million from audits and $2.30 billion from investigations. Other numbers from this first part of the 2019 fiscal year...

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