tci Medicare Compliance & Reimbursement - 2016 Issue 6

Industry Note: CMS Reminds Practices that OIG is Still Using Analytics Software to Find Errors

On Feb. 26, the HHS Office of the Inspector General (OIG) released its Health Care Fraud andAbuse ControlProgram ReportFY2015, which outlines the agency’s fraud prevention programs, as well as its significant recoveries in 2015. The agency also released a Fact Sheet the same day to highlight its findings. Key among the information was a paragraph in which the agency stressed how strongly it relies on “predictive analytics” to ferret out billing anomalies. Many analysts felt that the focus on the Fraud Prevention System (FPS) was in direct response to the House Ways andMeans Committee’s October letter...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.