BNA’s Health Care Daily Report™ sets the standard for reliable, high-intensity coverage of breaking health care news, covering all major legal, policy, industry, and consumer developments in a...
By James Swann
The Department of Health and Human Services Office of Inspector General May 29 announced expected recoveries from federal health care programs of roughly $1.2 billion for the first six months of fiscal year 2012, due in part to an increased focus on technology solutions, according to the agency's Semiannual Report to Congress.
“We are using advanced data analytics to help us conduct risk assessments; more effectively pinpoint our oversight efforts; and significantly reduce the time and resources required for audits, investigations, evaluations, and other program integrity activities,” OIG Inspector General Daniel R. Levinson said in the report's introduction.
Under the Inspector General Act of 1978, the OIG is required to file semiannual reports to Congress detailing program activities. The current report covers Oct. 1, 2011, to March 31, 2012.
During the first half of fiscal 2012, Medicare Fraud Strike Force operations recovered $51 million and led to the filing of charges against 101 individual or entities.
Levinson said the evolution of data warehousing has helped drive OIG audits and investigations as the “warehouse integrates data from Medicare Parts A, B, and D so we can develop a more comprehensive picture of beneficiaries' histories of medical care and providers' billing patterns.”
Data warehousing and data analytics have played key roles in Medicare Fraud Strike Force operations during the first half of FY 2012, Levinson said, and have also factored into OIG's ongoing hospital compliance review.
OIG has been evaluating acute-care hospitals to ensure their compliance with federal health care program requirements, Levinson said, and data analysis has helped identify compliance risks.
During the first half of fiscal 2012, strike force operations recovered $51 million and led to the filing of charges against 101 individual or entities.
In addition to the expected recoveries, the OIG also reported excluding 1,264 individuals and entities from participating in federal health care programs over the first half of FY 2012, as well as initiating 388 criminal actions and 164 civil actions against individuals and entities.
By James Swann
The OIG Semiannual Report to Congress is at http://oig.hhs.gov/reports-and-publications/archives/semiannual/2012/spring/sar-S12-fulltext.pdf.
All Bloomberg BNA treatises are available on standing order, which ensures you will always receive the most current edition of the book or supplement of the title you have ordered from Bloomberg BNA’s book division. As soon as a new supplement or edition is published (usually annually) for a title you’ve previously purchased and requested to be placed on standing order, we’ll ship it to you to review for 30 days without any obligation. During this period, you can either (a) honor the invoice and receive a 5% discount (in addition to any other discounts you may qualify for) off the then-current price of the update, plus shipping and handling or (b) return the book(s), in which case, your invoice will be cancelled upon receipt of the book(s). Call us for a prepaid UPS label for your return. It’s as simple and easy as that. Most importantly, standing orders mean you will never have to worry about the timeliness of the information you’re relying on. And, you may discontinue standing orders at any time by contacting us at 1.800.960.1220 or by sending an email to firstname.lastname@example.org.
Put me on standing order at a 5% discount off list price of all future updates, in addition to any other discounts I may quality for. (Returnable within 30 days.)
Notify me when updates are available (No standing order will be created).
This Bloomberg BNA report is available on standing order, which ensures you will all receive the latest edition. This report is updated annually and we will send you the latest edition once it has been published. By signing up for standing order you will never have to worry about the timeliness of the information you need. And, you may discontinue standing orders at any time by contacting us at 1.800.372.1033, option 5, or by sending us an email to email@example.com.
Put me on standing order
Notify me when new releases are available (no standing order will be created)