Medicare Compliance & Reimbursement

Fraud & Abuse:

MANY WATCHDOGS EYE HEALTH CARE FRAUD

Health care providers that think the feds are going to get lax about the fight against health care fraud anytime soon are in for a rude awakening, as the recent imbroglio over HHS Office of Inspector General chief Janet Rehnquist makes clear.

Rehnquist announced her intention to leave office March 4, after fraud hawk Sen. Charles Grassley (R-IA) and others raised numerous questions about her management of the OIG and spear headed a move to launch a General Accounting Office probe into her tenure. Her plan was to resign effective June 1.

Settled? Not quite yet — even the plan to resign wasn’t enough for one Congressional health care player. Rep. Pete Stark (D-CA), architect of the Stark physician self-referral law, sent a letter to President George Bush March 7, calling for Rehnquist to leave sooner rather than later.

“There is no need to prolong the damage she has caused in real and perceived terms for an additional three months,” Stark said in the letter, urging Bush to appoint “one of the current or recently resigned consummate career professionals from that office as acting Inspector General.”

Lesson Learned: Congress still has health care compliance very much on its mind, and any perceived laxity on the part of fraud-busting agencies will be vigorously challenged.

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