The Office of Inspector General of the Department of Health and Human Services is reaching out to the private sector to help healthcare providers comply with federal regulations.
Over the next three months, the office will release 11 video and audio presentations on compliance topics including major healthcare fraud and abuse laws through its website.
The office has already released two videos, including an introduction to the series from Inspector General Daniel Levinson and a video outlining exclusion authorities.
The videos will discuss parameters for inclusion in programs such as Medicaid and Medicare.
Some government contractors have recently aligned operations to help the combat federal healthcare fraud.
- Northrop Grumman is leading a team using Verizon predictive modeling technology to screen program claims and help prevent fraudulent payments for the Centers for Medicare and Medicaid Services.
- Verizon also recently developed an automated software platform that utilizes the same technology the company uses to process around 700 million call records each day to help reduce “pay and chase” recovery operations.
- USIS, an Altegrity company, formed a healthcare solutions group in October that employs 2,600 investigators to prevent fraudulent Medicare and Medicaid claims payments.
- Accenture took home a five-year award in November to design a new benefits eligibility system for the state of Kansas in part to help prevent Medicaid and other benefit program fraud.
- CGI Group won a contract in August to provide Medicaid recovery audit contractor program services for the Ohio Department of Job and Family Services that help identify, correct and prevent improper Medicaid payments.