Category: OIG

OIG Expects to Recover $5.9B in Healthcare Fraud

December 17, 2019December 4, 2020Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

The Office of Inspector General (OIG) expects a banner year in recoveries stemming from fraud investigations and audits. According to the OIG semiannual report, released Dec. 2, the U.S. Department of Health and Human services (HHS) stands to recoup a… For more, read here: AAPC Blog Related Posts:Michigan Surgeon Accused of $60M Billing FraudHealthcare Job Growth Greatest in 2018Anthem Investigator Charged with FraudMillennials and Their Healthcare Access

OIG to Audit Risk Adjustment Coding

November 27, 2019December 4, 2020Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Consistent with previous reporting, the Office of Inspector General (OIG) has added to its 2020 Work Plan a targeted audit of Medicare Advantage (MA) programs for risk adjustment diagnosis codes. This is not the first time federal agency has targeted … For more, read here: AAPC Blog Related Posts:Coding NewsWill Computer-Assisted Coding Make Coders Obsolete?