tci Medicare Compliance & Reimbursement - 2003 Issue 17

Fraud & Abuse: PLANS, AGENCIES GET PRICE CUT ON HIPDB

Health plans and government agencies soon will get a price cut when they run a provider query through the HHS Office of Inspector General's Healthcare Integrity and Protection Data Bank. According to a April 22 Federal Register notice, the agency is cutting the per-query fee from $5 to $4.25 to better reflect the costs of maintaining the data repository, which contains information on health care-related court judgments, criminal convictions, licensure actions and other kinds of sanctions levied against health care providers. The HIPDB is intended to deter fraud and abuse by giving certain organizations a way to identify...

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