Lewis Morris, the Chief Counsel to the Office of the Inspector General (OIG) of HHS provided testimony this morning before the subcommittes on Health & Oversight of the U.S. House Ways and Means Committee. The text of Mr. Morris’s message provides insight into successful fraud and abuse intitatives by the OIG as well as the success [...]
CMS has recently announced a new round of RAC informational sessions for providers. The video features the slide show used in the original fall RAC informational sessions along with commentary by Commander Marie Casey. This video production is one of many that have been posted by CMS/HHS on YouTube. This video is being released as [...]
The Department of Health and Human Services announced today that it is expanding operation of its successful Medicare Strike Force to Tampa, Florida, Brooklyn, New York and Baton Rouge, Louisiana. The announcement came simultaneously with announcemnt that Continuing Strike Force Operations has Lead to Indictment of 30 Individuals Charged in Miami, Detroit and Brooklyn with [...]
CGI, the Region B Recovery Audit Contractor has added several new CMS approved issues. The issue of untimed codes for therapy is now approved for Illinois, Indiana, Kentuckhy, Michigan, Minnesota, Ohio and Wisconsin. The issue was approved on 9/30/2009 and covers services from 10/1/2007 forward. According to CGI: Untimed Codes – CPT codes (excluding modifiers KX, [...]
The indictment of a Detroit area sham therapy operation was announced this summer, and in a United States Department of Justice (USDOJ) press release on Monday, the main conspirator plead guilty to a $18.2 million scheme to defraud the Medicare program. According to the DOJ press release “…Chand admitted that in order to create the [...]
Attorney General Eric Holder and Health and Human Services (HHS) Secretary Kathleen Sebelius have jointly announced the creation of a new fraud initiation called HEAT: the Health Care Fraud Prevention and Enforcement Action Team. The expansion of the Medicare Strike Force team operations to Detroit and Houston was also announced. Medicare Fraud Strike Forces are currently operating [...]