tci Part B Insider - 2016 Issue 24

Compliance: Data Analytics Key To the Big OIG Takedown

CMS watchdog used enhanced analysis of Medicare billing to capture 300 fraud offenders. Whether it’s a simple case of upcoding or a serious abuse of kickback mania, the Office of Inspector General (OIG) and its affiliates are on the lookout for offenders, big and small. Background. Last week, in an unprecedented sweep that spanned 36 judicial districts, the Department of Health and Human Services’ (HHS) OIG charged over 300 defendants in a variety of Medicare and Medicaid hustles. It was the most expansive fraud takedown in history with the total cache of improperly billed services reaching approximately $900...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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