decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Operation Restore Trust / How ORT Works
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Article Overview
This article provides a high-level overview of how Operation Restore Trust (ORT) functioned in practice. It describes the varying state-by-state approaches, the roles of Medicare contractors and federal agencies, and the kinds of investigative and educational activities associated with fraud and abuse oversight. The content is useful for readers who need context on ORT’s operational structure and enforcement environment rather than coding guidance.
Why This Topic Matters
ORT is an important historical fraud-and-abuse initiative in the Medicare program. Understanding how it worked helps compliance, audit, and integrity professionals interpret older enforcement references and the interagency processes described in related materials.
What You Will Learn
- How ORT operations varied across states
- Which types of agencies and contractors participated in ORT-related activities
- What investigative approaches were used in fraud and abuse oversight
- How enforcement and educational efforts both fit into ORT programs
Who Should Read This
- Compliance professionals
- Medical auditors
- Revenue cycle staff
- Healthcare administrators
- Fraud and abuse investigators
- Medicare policy researchers
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