In its 2016 Work Plan, the Health and Human Services Office of Inspector General lists their health care fraud investigation roster. The list includes the following Usual Suspects:
• Controlled and Noncontrolled prescription drugs
• Home Health Agencies, Personal Care, and Home and Community Based Services
• Ambulance Transportation
• Durable Medical Equipment
• Diagnostic Radiology and Laboratory Testing
The OIG stated in their notations that they will be looking more into both provider AND beneficiary participation in health care fraud schemes and threaten those involved in such schemes with heavy fines, jail time, and exclusion from participation in federally funded health care programs.
The HHS OIG plans to work with the FBI, US Attorney’s office, and State enforcement agencies such as Medicaid Fraud Control Unit (MFCU).
HHS OIG has lauded themselves for their leadership in the Healthcare Fraud Prevention Partnership (HFPP), their association with the National Health Care Anti-Fraud Association (NHCAA), and their partnership with the Department of Justice in Healthcare Enforcement Action Teams (HEAT).
Who doesn’t love a good acronym.
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