E/M Coding Alert - 2019 Issue 20
Industry Note: Check Out OIG’s Revamped Fraud Risk Indicator
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Article Overview
This short industry note describes an update to the HHS Office of Inspector General’s fraud risk indicator tool and explains the general purpose of the resource. It is aimed at providers and compliance-focused readers who want to understand broad fraud-risk categories, the role of published data, and where to find the OIG resource for more information.
Why This Topic Matters
Compliance and risk-management teams may use the updated OIG tool as a high-level reference when evaluating fraud exposure and monitoring government guidance related to healthcare fraud and False Claims Act activity.
What You Will Learn
- What the OIG fraud risk indicator tool is intended to help users assess
- How the tool broadly organizes healthcare fraud risk
- Why published data is used in the OIG approach
- Where to find the updated OIG resource
Who Should Read This
- Healthcare providers
- Compliance professionals
- Revenue cycle teams
- Fraud and abuse analysts
- Healthcare administrators
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