Home Health & Hospice Week

Compliance:

OIG Fraud-Fighting Army Mobilizes For Investigations

Watchdog agency is intent on stopping fraud quickly with data analysis.The OIG has its eye on you -- or at least its computers do.The HHS Office of Inspector General wants to make clear that it has vast resources in its fight against fraud. "In the Office of Investigations, our primary mission is to investigate and detect fraud against HHS programs, primarily that relate to Medicare and Medicaid fraud," Gary Cantrell, the OIG's Deputy Inspector General for Investigations, said during a recent webcast, "OIG Outlook 2013." "Our greatest resource in that fight against fraud is our people. We have over 600 dedicated, resourceful men and women who are experts in this area of investigating fraud within HHS programs."Data analytics is another resource that the office uses to find and fight fraud. "We identify where fraud hotspots exist geographically and then locate our resources to have the most impact with investigations," Cantrell said. [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All