Report: HHS OIG fraud recoveries on the rise

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The Department of Health and Human Services Office of the Inspector General recently released its semi-annual Report to Congress outlining its anti-fraud activities. The report highlights OIG’s accomplishments for the six-month period ending March 31, 2016. The agency noted that during that period it reported expected recoveries of more than $2.77 billion consisting of nearly…

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States’ failure to implement NCCI edits cost Medicaid program billions annually

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Improper payments to healthcare providers cost the Medicaid program approximately $17.5 billion in fiscal year 2014, according to a new report from the HHS Office of the Inspector General. The reason: States’ failure to fully implement or properly use Medicaid National Correct Coding Initiative (NCCI) edits. The purpose of the NCCI edits is to prevent…

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GAO Report: HHS Lacks Adequate Healthcare Workforce Planning

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The Department of Health and Human Services (HHS), which engages in planning for the 72 healthcare workforce programs administered by its agencies, lacks comprehensive planning and oversight to ensure that these efforts meet national healthcare workforce needs, according to a new report from the U.S. Government Accountability Office. These programs send HHS funding to institutions…

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