Posts Tagged ‘OIG’
OIG cracking down on medical director compensation
If you are thinking of taking on medical director responsibilities, or you are a medical director, there are some things you need to know to ensure that you do not run afoul of kickback laws. On June 9, the OIG issued a fraud alert noting that physicians who enter into compensation arrangements, such as medical…
Read MoreOIG adds 21 new investigative focus areas
The Office of Inspector General at the U.S. Department of Health and Human Services recently released the midyear update of its annual work plan, which not only outlined its accomplishments between October 2014 and May 2015 but also added 21 new focus areas for next year. The OIG noted that it will continue to look…
Read MoreOIG cracks down on place-of-service overpayments
Is your practice using proper place-of-service codes? If not, you’re not alone. According to a new report from the HHS Office of Inspector General, Medicare contractors may have overpaid physicians to the tune of $33.4 million for incorrectly coded services provided between January 2010 and September 2012. Why? It appears that the services were performed…
Read MoreOIG guidance for healthcare governing boards focuses on responsibility
You have probably heard the saying “The buck stops here.†Popularized by President Harry S. Truman, the phrase still holds true today for many in positions of authority. When it comes to compliance oversight in the healthcare industry, the federal government is turning its focus more than ever on boards of directors and trustees to…
Read MoreHome healthcare agencies, aides top fraud list
Home healthcare agencies and home healthcare aides topped the list of providers with the largest number of healthcare fraud convictions in 2014, according to a report released last month by the HHS Office of the Inspector General. Of the more than $1.9 billion recovered in total civil judgments and settlements, the federal government recovered $186…
Read MoreFeds use data analytics to detect and investigate Medicare fraud
There have been countless stories in the news about how the federal government has gone about combating Medicare fraud. Still, every year the battle rages on. Between 2012 and 2014, the Office of the Inspector General’s investigations have resulted in $14.8 billion in investigative receivables (dollars ordered or agreed to be paid to government programs…
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