BC Advantage - 2019 Issue 5
An Update on the DHS OIG's Effort to Combat Fraud & Abuse
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Article Overview
This article summarizes recent Department of Health and Human Services Office of Inspector General reporting on fraud and abuse enforcement activity. It discusses annual and semiannual oversight reports, recovery figures, criminal and civil actions, program exclusions, and the broader compliance environment relevant to healthcare organizations and billing professionals.
Why This Topic Matters
Healthcare organizations and revenue cycle professionals benefit from understanding current federal oversight trends because they can influence audit preparedness, compliance focus, and operational risk management.
What You Will Learn
- How the HHS OIG reports on fraud and abuse enforcement activity
- What recent oversight reports indicate about recoveries, actions, and exclusions
- Why federal fraud and abuse enforcement trends matter to healthcare compliance teams
- Which stakeholder groups should pay attention to OIG enforcement priorities
Who Should Read This
- Medical practices
- Healthcare providers
- Administrators
- Auditors
- Coders
- Billers
- Compliance professionals
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