Medicare Compliance & Reimbursement

FRAUD DETECTION UPDATE:

OIG Requests $40+ Million More Funds to Beef Up Fraud Detection

Ratchet up your documentation skills now. The OIG has been on a roll over the past year, and they don't intend to slow down anytime soon. The agency has requested an additional $41.5 million from the 2011 federal budget to help its efforts. According to a 38-page report issued by Inspector General Daniel Levinson, the OIG requests $324 million in funds for 2011, including the following allotments: 􀁺 $25 million more "to continue oversight of Medicare and Medicaid activities previously funded through mandatory appropriations" 􀁺 $40 million in additional funding "to focus ... on preventing healthcare fraud and enforcing current anti-fraud laws around the country through the Health Care Fraud Prevention and Enforcement Team (HEAT) initiative". The OIG will save $25 million from the 2011 budget by ending mandatory funding for oversight of Medicaid activities, because "authority for this funding expires at the end of FY 2010," the report says. [...]
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