OIG Urges for More Authority over Medicare Fraud
OIG Urges for More Authority over Medicare Fraud

The Inspector General Officer of the Department of Health and Human Services has demanded more authority over Medicare frauds, which also includes the ability to go after the executives, who are no more working in the Company.

Presently, Health and Human Services department can keep out from all federal healthcare plans. Any Company or its worker who knew or should have known about indecencies will lead to the Company's conviction.

But according to the reports, that individual must still be working with the Company. Executives who are guilty can leave the job and go to work somewhere else. This is the reason OIG is urging Congress for a longer reach.

"What we're trying to say to the executives is, 'This isn't just going to fall on the Company”, said Lewis Morris, Chief Counsel for the OIG.

Morris also advised the Congress about the proposed alterations in payment structure, which include bundled or global payments and it would permit corrupt providers to hold back on care.

New approaches are required for new arrangements to deal with the fraud, waste and abuse. Furthermore, depending on their plan and process, some new preparations may pose different dangers, which need to be addressed.

There are still some risks included like stinting on care, misreporting quality and performance data, discrimination against sicker patients and gaming of payment windows to double bill for the bundled services.

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