Part B Insider (Multispecialty) Coding Alert

Physician Note:

OIG Recovered $3.8 Billion in the First Half of FY 2013

Plus: Medicaid data mining could happen soon.

Medicare may be cutting back on payments for some services, but the OIG is finding additional ways to save money by recouping billions from medical practices across the country. According to the OIG’s Oct. 2012 to March 2013Semiannual Report to Congress, the agency recouped $3.8 billion through recommendations, investigative efforts, and audit recovery during that six month period.

The report outlines common enforcements, such as those on durable medical equipment (DME) suppliers, as well as new targets.

“OIG auditors, evaluators, investigators, and legal professionals joined forces to produce the first - ever OIG Portfolio, which synthesizes OIG’s work examining vulnerabilities in Medicaid personal care services (PCS) and offers recommendations for improvement,” said Inspector General Daniel R. Levinson in the report.

To read the OIG’s Semiannual Report, visit the HHS Web site at: http://oig.hhs.gov/reports-and-publications/archives/semiannual/2013/SAR-S13-Final.pdf.

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