Fraud & Abuse: 200 PROVIDERS EXCLUDED PER MONTH

Why This Topic Matters

The article highlights enforcement priorities and payment policy issues that can affect compliance programs, reimbursement exposure, and organizational risk management.

Article Sections

1. HHS OIG Semiannual Report Overview

   A summary of the agency’s recent enforcement activity and major fraud-related matters discussed in the report.

2. Fraud-Fighting Statistics

   A brief accounting of exclusions, convictions, civil actions, and collections reported for the period covered.

3. 2003 Red Book Recommendations

   A discussion of selected cost-saving recommendations identified by the watchdog agency for future implementation.

4. Hospital Outpatient Department Services

   Coverage of reimbursement policy concerns affecting hospital outpatient services and ambulatory surgical center comparisons.

5. Lesson Learned

   A compliance-focused reminder about screening and organizational safeguards related to excluded individuals.