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OIG updates Congress on fraud efforts

Plus: It denies docs safe harbor to provide CPAP
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11/30/2012

WASHINGTON – The Office of Inspector General (OIG) expects to recover $6.9 billion and exclude 3,131 individuals and entities from participating in federal healthcare programs in fiscal year 2012, according to its Semiannual Report to Congress published Nov. 27.

OIG updates Congress on fraud efforts

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11/27/2012

WASHINGTON – The Office of Inspector General (OIG) expects to recover $6.9 billion and exclude 3,131 individuals and entities from participating in federal healthcare programs in fiscal year 2012, according to its Semiannual Report to Congress published Nov. 27.

New OIG report: Is it good or bad?

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11/21/2012

WASHINGTON – Industry stakeholders worry how a new report from the Office of Inspector General (OIG) that found administrative law judges (ALJs) reversed 56% of the decisions made by qualified independent contractors (QICs) will be interpreted.

In brief: Appeals process, acquisitions and readmissions

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11/16/2012

WASHINGTON – The Office of Inspector General (OIG) recommends “coordinated training” for administrative law judges (ALJs) and qualified independent contractors (QICs) on the Medicare appeals process in a new report.

OIG study: Appeals process lacks clarity, consistency

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11/15/2012

WASHINGTON – The Office of Inspector General (OIG) recommends “coordinated training” for administrative law judges (ALJs) and qualified independent contractors (QICs) on the Medicare appeals process in a new report.

In brief: OIG finds spike in claims, Dynamic buys Evanko

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11/09/2012

WASHINGTON – Claims for more expensive, non-mail order diabetes test strips (DTS) increased 33% from 2010 to 2011, while claims for less expensive, mail order DTS decreased 71%, according to a study by the Office of Inspector General (OIG).

OIG: spike in claims for non-mail order diabetes supplies

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11/08/2012

WASHINGTON – Claims for more expensive, non-mail order diabetes test strips (DTS) increased 33% from 2010 to 2011, while claims for less expensive, mail order DTS decreased 71%, according to a study by the Office of Inspector General (OIG).

Medical facilities, DME suppliers represent 40% of fraud cases

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10/12/2012

WASHINGTON – Medical facilities and durable medical equipment suppliers were the most frequent subjects of criminal cases for Medicare and Medicaid fraud, according to an Oct. 9 report from the Government Accountability Office (GAO).

OIG work plan includes several new reviews for DME

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10/03/2012

WASHINGTON – What durable medical equipment will bear the brunt of the Office of Inspector General’s (OIG’s) scrutiny next year? Diabetes supplies.

OIG: Conflict of interest among potential ZPICs

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07/11/2012

WASHINGTON – Companies that seek ZPIC contracts from CMS often have conflicts of interest that could compromise the integrity of the program, according to a new report from the Office of Inspector General (OIG).

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