decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Operation Restore Trust / ORT Activities
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Article Overview
This page summarizes the types of activities performed by Operation Restore Trust teams and related federal and state oversight partners. It is aimed at readers who need a high-level understanding of how Medicare program integrity efforts were organized, including audits, investigations, facility reviews, fraud alerts, reporting channels, and training initiatives. The article provides context for compliance, fraud prevention, and oversight work in long-term care, rehabilitation, skilled nursing, and home health settings.
Why This Topic Matters
It helps compliance professionals, auditors, coders, and health care administrators understand the kinds of program integrity activities associated with ORT and how multiple agencies coordinated to address waste, abuse, and fraud.
What You Will Learn
- The types of oversight and enforcement activities associated with ORT
- How federal and state agencies coordinated on audits, investigations, surveys, and sanctions
- The broad program integrity initiatives used to detect and prevent waste, abuse, and fraud
- The kinds of facility and home health oversight efforts described in the article
Who Should Read This
- Medical coders
- Compliance staff
- Healthcare auditors
- Revenue cycle professionals
- Health care administrators
- Program integrity professionals
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