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What is the government investigating in health care fraud this year?

June 15, 2008

Physicians and other health care professionals should take heed: the Office of Inspector General (OIG) of the Department of Health and Human Services, which is responsible for rooting out health care fraud, recently announced its areas of focus for 2008.

The OIG’s “Work Plan” for fiscal year 2008 was released on Oct. 1, 2007. For physicians and health care professionals, the government’s top areas of focus for fraud are:

  • Medicare assignment rules
  • Sleep and polysomnography services
  • Medicare payments for psychiatric services
  • Independent Diagnostic Testing Facilities
  • Services performed by social workers

Health care fraud concerns are, or should be, on all physicians’ radars. Complex and sometimes counterintuitive rules and regulations can create traps – civil, administrative, and criminal – for even the best-intentioned physician.

Click here to read more about the top reasons the government could investigate your medical practice.

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