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Keller Grover / News / Healthcare Fraud

May 09 2016

Switch to ICD-10 Not A Cure-All For Healthcare Fraud

The World Health Organization is the public health arm of the United Nations. Since 1948, WHO has been responsible for updating the International Classification of Diseases (ICD), a worldwide system for collecting, processing, classifying and processing statistics about diseases. The most recent version of the ICD is ICD-10, or tenth edition, which WHO published in 1999. The U.S. Center for National Health Statistics adapts the ICD to create the ICD-CM, which is used by U.S.-based healthcare … [Read more...]

Feb 23 2016

Inspector General Report Provides Strong Clues on Trends in Healthcare Fraud

The U.S. Department of Health and Human Services (HHS) is the federal agency that runs the Medicare and Medicaid programs. Within the Department, the Office of the Inspector General (OIG) is charged with preventing fraud on the Medicare and Medicaid programs, and identifying and holding accountable those that have abused their role as healthcare providers. OIG conducts audits, investigations, and evaluations of Medicare and Medicaid, and works closely with attorneys within HHS and at the U.S. … [Read more...]

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