Monday, December 7, 2009

OIG Saves American Taxpayer's Money by Cracking down on Fraud

OIG maintains a hotline which offers a confidential means for reporting fraud and publishes summaries of resolved fraud and abuse cases on their web site throughout the year. The following are a few exples of the types of complaints that OIG investigated and persued:
In Maine, a registered nurse was sentenced to 18 months in jail with all but 45 days suspended for theft of drugs. While working at a hospital emergency room, the woman stole morphine on at least three occasions.
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In New York, a billing clerk was ordered to pay $2,100 in restitution for health care fraud. The billing clerk systematically upcoded claims. These claims had already been upcoded by nurses who routinely treated patients without any physician involvement, but coded the services as though a physician had rendered them.

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