Healthcare fraud prevention and enforcement efforts recover record $4 billion
Compliance Monitor, January 26, 2011
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
The government’s healthcare fraud and abuse efforts netted more than $4 billion in fiscal year (FY) 2010, according to a U.S. Department of Health and Human Services (HHS) press release. That is the largest annual healthcare fraud amount ever recovered.
Much of the success is owed to the collaboration between HHS and the Department of Justice (DOJ). The two agencies enhanced their coordination through the Health Care Fraud Prevention & Enforcement Action Team (HEAT). During FY 2010, HEAT and the Medicare Fraud Strike Force expanded local partnerships and helped educate Medicare beneficiaries about how to protect themselves against fraud.
HHS also announced new healthcare fraud prevention rules authorized by the Affordable Care Act. The final rule includes new provider screening and enforcement measures aimed to keep bad actors out of government healthcare programs through suspension of payment to providers charged with fraud.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
-
Short Stays: A Data Driven Approach to Medical Necessity
Join us for this 90-minute audio conference and learn how to take a data-driven approach to billing one-day and short stays...
-
Delivering Inpatient Notifications
During this 90-minute audio conference, our speakers use a fictional case to show you how to appropriately deliver each of...
-
2012 OIG Work Plan for Hospitals: Top Issues for Auditing
During this 90-minute audio conference, our expert panel walks you through this year's compliance hot-spots, offers...
-
Medicare Compliance Forum: Orlando, FL
Attend the 2012 Medicare Compliance Forum to reduce your organization’s risk and exposure from government auditors...
-
Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs
This book describes the different types of Medicare audits that nursing homes face and helps you take a proactive approach...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Q/A: Coding infusions to correct low potassium levels
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Searched