Posts Tagged ‘healthcare audit’
HHS-OIG Details Successes of Efforts to Curb Healthcare Fraud and Abuse in Semiannual Report to Congress
The U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) recently released its Semiannual Report to Congress touting its many successes but also adding that a lack of funding has resulted in an inability to go after even more healthcare fraud and abuse. “We are turning down 300 to 400 viable…
Read MoreWatchdog Agency Details Enforcement Activities During Six-Month Period
The Department of Health and Human Services Office of the Inspector General (HHS-OIG) expects to make nearly $3 billion in recoveries resulting from the agency’s audits and investigations, according to its Semiannual Report to Congress released earlier this month. The semiannual reporting period runs from Oct. 1, 2021, through March 31, 2022. The watchdog agency…
Read MoreOIG Work Plan Update Adds Audits of CARES Act Provider Relief Funds
In its May update of its Work Plan, the Department of Health and Human Services Office of the Inspector General (HHS OIG) announced it will examine the effectiveness of HHS controls over the awarding and disbursement of $50 billion in Provider Relief Fund (PRF) payments to hospitals and other providers. The funding was included in…
Read MoreHow can investigators predict healthcare fraud?
Predictive modeling is a term that has been used a great deal lately in the context of healthcare fraud. In a nutshell, predictive modeling is the area of data mining concerned with forecasting probabilities and trends. Here in South Florida, many of us are familiar with its use through the forecasting of hurricanes. In the…
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