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Here come the payer audits
Government Health IT: The Department of Health and Human Services’ Office of the Inspector General is giving the healthcare industry, state and federal healthcare agencies a heads up for 2015.
Across Medicare and Medicaid — and Medicare Advantage and Part D drug plans and Medicaid managed care organizations — OIG investigators intend to probe a range of issues, problems and trends, with the aim of holding the almost $3 trillion and growing U.S. healthcare system accountable. Insurers with Medicare and Medicaid plans should be prepared for audits from the OIG and subsequent public scrutiny in the media.
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