tci Medicare Compliance & Reimbursement - 2018 Issue 4

Compliance: Keep the Feds Off Your Back with 3 Tips to Fight Fraud

Tip: Strong notes back up claims and appeals. As Medicare fraud and abuse increase nationwide, healthcare auditors as well as federal law enforcement agencies remain vigilant in their pursuit of wrongdoers. Thorough documentation can keep you out of hot water and ensure your claims and practices are on the right side of the law. To avoid the HHS Office of Inspector General's (OIG) watchful eye, consider the insight below on recent cases prosecuted by the feds that resulted in prison time and stiff fines. 1. Medically Unnecessary In a recent settlement, a Detroit-area physician was sentenced to 24 months...

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