Category: OIG

New Medicare Cards Initiate Phishing Scam

January 23, 2020June 28, 2022Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Medicare patients are receiving calls from telephone solicitors who are phishing for private identification information for nefarious purposes. The ruse is facilitated by the issuance of new Medicare cards. Here’s How the Scam Goes Down The callers c… For more, read here: AAPC Blog Related Posts:Medicare Telehealth Coding as of April 30Prevent Medicare Claims Denials in 2020

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

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:Medicare Telehealth Coding as of April 30Coding Uncertain Lesion Excisions With Certainty