tci Part B Insider - 2018 Issue 1

Enforcement: OIG Utilizes Providers' Data in Biggest Fraud Takedown Ever

EHR vendor's shoddy software causes false claims - and a $155 million fine. Data drives healthcare today and helps Part B providers improve the delivery of care. For honest clinicians, the captured data that health IT harnesses can be a valuable asset and promote quality, coordinated care. However fraudsters looking to make a buck off Medicare may find that their digital footprints lead the OIG right to their doorsteps. "By leveraging advanced analytic techniques to detect potential vulnerabilities and fraud trends," says Inspector General Daniel R. Levinson in the Office of Inspector General's (OIG) latest report on why...

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