tci Part B Insider - 2015 Issue 44

Compliance: OIG Recovered $3.35 Billion in 2015, Plans Scrutiny of Ophthalmology Services

Place of service errors also continue to be on the agency’s radar screen. Any amount over $3 billion may sound like an enormous number in terms of Medicare billings, but that’s the amount the OIG recovered in 2015 alone. In its Semiannual Report to Congress, released on Nov. 30, the OIG reported that during fiscal year 2015, the agency recorded audit receivables of $1.13 billion, another $2.22 billion in investigative recoveries and $286 million from other sources. “Our work identifies improper payments, which sometimes may be caused by fraud, but may also indicate questionable...

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