More False Claim Audits are Coming

This is big news. A new audit conducted by the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), scrutinizing the erstwhile COVID Provider Relief Fund payments, reveals that more than 43 percent of sampled providers received miscalculated payments, largely based on self-reported data with minimal human review. Moreover, 26 percent of providers were potentially overpaid by a whopping $655 million. During the next live edition of the venerable Monitor Mondays, whistleblower attorney Mary Inman will explain how those errors could form the basis for a new wave of False Claims Act cases. The broadcast will also feature the following regular segments: • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will present his regular Monday Rounds segment. • The RAC Report: Healthcare attorney Knicole Emanuel, partner at Poyner and Spruill, will provide an update on healthcare auditing news. • Risky Business: Healthcare attorney David Glaser, shareholder at Fredrikson & Byron, will present his “Risky Business” segment. • Legislative Update: Cate Brantley, a senior legislative affairs liaison for Zelis, will provide an update on current healthcare legislation.