As discussed during the lecture, there is significant government enforcement by federal and state agencies for healthcare fraud and abuse, including, but not limited to, the submission of false claims, billing for services not provided, or upcoding services to reflect a higher level of service than was actually provided. Your assignment is to visit the Office of Inspector General website below:
https://oig.hhs.gov/fraud/enforcement/?type=cmp-and-affirmative-exclusionsLinks to an external site.
Once there, you should review one of the enforcement actions relating to billing, coding or false claims posted within the last 12 months and provide the following information:
Name of the parties.
What did the government allege that the provider did?
What was the dollar amount or penalty assessed by the OIG?
In your opinion, does the penalty seem fair, too low or excessive?
Why do you think the OIG posts this type of enforcement information on a public website where the public and other providers can view it?
Were you surprised at the number of healthcare fraud enforcements actions listed on this website for the last twelve months?
Assignment Submission Instructions:
Create a Word document.
Paper should be a minimum of 2-3 pages in length.
Use Times New Roman, 12 pt font, double-spaced.
Paper should use APA formatting with attention to punctuation, spelling and citations.
Submission should include citations from the unit as well as outside sources if necessary and should be formatted according to APA
Submit your assignment by Midnight on Sunday of Unit 1.
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