Medicare Compliance & Reimbursement

There may be more criminal actions and exclusions on the horizon.Medical practices across the country have come under OIG scrutiny resulting in millions being recouped from oversight efforts, recommendations, investigative efforts, and audit recovery. The OIG has reported in its 2012 Semiannual Report, that the agency recouped $1.2 billion from Medicare overpayments through as many as 1,264 exclusions and 388 criminal actions.The report, which covers OIG actions between Oct. 1, 2011, and March 31, 2012, outlines common enforcements, such as those on durable medical equipment (DME) suppliers, as well as new targets."We are using advanced data analytics to help us conduct risk assessments; more effectively pinpoint our oversight efforts; and significantly reduce the time and resources required for audits, investigations, evaluations, and other program integrity activities," said Inspector General Daniel R. Levinson in the report.Some Money Not Yet CollectedIn addition to collecting billions, the OIG may also request refunds based [...]