decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Operation Restore Trust / ORT Results
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Article Overview
This article reviews early findings from Operation Restore Trust (ORT), including recovery totals, enforcement actions, excluded providers, investigations, and audit activity related to Medicare and Medicaid program integrity. It is useful for compliance, auditing, fraud-and-abuse, and healthcare operations audiences who want a high-level view of ORT’s impact and the scope of agency coordination involved.
Why This Topic Matters
ORT is a landmark Medicare and Medicaid integrity initiative, and this summary shows the scale of recoveries, investigations, and provider exclusions achieved in its first years. Readers can quickly gauge the article’s relevance to program integrity, enforcement, and audit oversight topics.
What You Will Learn
- The overall results reported for Operation Restore Trust in its early years
- How ORT activity was distributed across restitutions, settlements, fines, and overpayment recoveries
- The volume of criminal, civil, and investigative actions associated with the initiative
- Which agencies participated in joint investigations and related oversight activities
- The extent of audit and inspection reporting connected to ORT
Who Should Read This
- Medical coders
- Compliance professionals
- Healthcare auditors
- Revenue cycle staff
- Fraud and abuse investigators
- Health policy researchers
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