News: Department of Justice and Office of the Inspector General announce 'record-breaking' returns
CDI Strategies, December 18, 2014
Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!
The Department of Justice (DOJ) recovered $5.69 billion in False Claims Act settlements in fiscal year (FY) 2014; $2.3 billion of which against federal healthcare programs, according to a press release.
In its semiannual report to Congress, the Office of Inspector General estimates its FY 2014 recoveries at $4.9 billion—with 80% of its work focused on Medicare and Medicaid related concerns. The report, released December 10, also states that OIG excluded 4,017 individuals and entities from federal health care programs in FY 2014 and reported 971 criminal actions.
CDI professionals need to watch OIG efforts and DOJ efforts as such targets frequently overlap with common CDI focus areas.
Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!
Related Products
-
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...
-
The RAC Toolkit for Hospitals and Health Systems
The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program is your...
-
Anatomy and Physiology for ICD-10 Coding E-learning Library
Is your coding team prepared for ICD-10? Coders must master the fundamentals of anatomy and physiology (A&P) before they...
-
Observation Services 2013: Establishing Key Performance Indicators
Deborah Hale helps you evaluate the appropriateness of level of care decision making for observation use and establish key...
-
Value-Based Purchasing and Documentation Improvement
If your CDI program has not incorporated value-based purchasing (VBP) measures into its review efforts, now is the time to...
Most Popular
- Articles
-
- CMS seeks comment on quality measures
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Q&A: Primary, principal, and secondary diagnoses
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Complications from immobility by body system
- Coding Clinic reiterates guidelines for provider documentation
- Prevent dehydration with nursing interventions
- E-mailed
-
- Capturing start and stop times for infusions
- Q&A: Sepsis as a primary diagnosis
- Note from the instructor: Billing Outpatient Laboratory Services - TOB 131 vs. TOB 141
- Learn how to read an OP report
- Inpatient-only procedures: Accuracy helps avoid denials, ensure compliance
- Don't forget the three checks in medication administration
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Coding Clinic reiterates guidelines for provider documentation
- Clinical Corner: Revisiting respiratory failure
- Clear up confusion surrounding observation services
- Searched
