Fraud Reality Show Features Office of Inspector General

Have you always wanted to see what an Office of Inspector General (OIG) investigational take down of a healthcare fraud scheme is like? Now is your chance. The U.S. Department of Health and Human Services’ (HHS) has a “This is Real” series of podcasts, which takes you undercover with OIG special agents as they work to destroy “complex fraud schemes, expose the greed of those involved, and bring the criminals to justice.”

You can find the five-episode series on the OIG website:

• Episode 1: Rabbit Holes
• Episode 2: Opulence
• Episode 3: The Puzzle
• Episode 4: Undercover
• Episode 5: Consequences

The series uncovers the biggest healthcare fraud takedown in Washington, D.C., history:

In 2014, more than 30 people were arrested in the nation’s capital on charges related to health care fraud. Those arrested included owners and operators of home health care agencies, office workers, personal care assistants, and patient recruiters. Millions of dollars in bank accounts and property were seized …

Let this real-life OIG exposé be a lesson as to why compliance and proper reporting of healthcare services are important, and that healthcare fraud is risky and dangerous business. If you suspect fraud, waste, or abuse in HHS programs, you can report it at their hotline: 800-447-8477 or 800-HHS-TIPS.

If you need help managing the increased scrutiny on Medicare and Medicaid fraud and abuse, consider becoming a Certified Professional Compliance Officer (CPCO™).

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Michelle Dick

Executive Editor at AAPC

Michelle A. Dick has been executive editor for AAPC for over 10 years. Prior to her work at AAPC, she was editor-in-chief at Eli Research and Element K Journals, and disk ad coordinator, web designer/developer, and graphic artist at White Directory Publishers, Inc. She has a Bachelor of Science in Graphic Design from the State University of New York - Buffalo State and is a member of the Flower City Professional Coders in Rochester, N.Y.

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