Dan Levinson, Inspector General, Department of Health & Human Services
Leslie Caldwell, Assistant Attorney General, Criminal Division, DOJ
OIG
Each year, Dan Levinson provides HCCA’s attendees with a glimpse into what the OIG has occurred within the OIG recently and what they will be focusing on over the next year.
The Inspector General noted that making mistakes is only human however, going back and correcting them is important and that’s where compliance plays a role. The strong institutions of compliance are:
- Quality care
- Enhances morale
- Builds trust, reputation
- Reduces costly mistakes
- Self-corrects
Enforcement of healthcare regulations remains a challenging business, with evolving risks and additional regulations. The OIG’s role is to:
- Reduce vulnerabilities
- Reduce improper payments
- Promote safety and security
- Promote quality of care
- Hold wrongdoers accountable
DOJ
The DOJ has devoted increased resources and additional people to healthcare fraud than ever before. With a particular eye on the importance of compliance, the DOJ has hired a compliance professional in the fraud division. With the ability to use data to drive their actions, the DOJ has started to move from being a purely reactive department, to being able to move more quickly and proactively.
The DOJ has put specific emphasis on billing categories that a rife with fraud as well as cities where fraud commonly occurs including:
- Miami
- Tampa
- Baton Rouge
- Dallas
- Brooklyn
- Detroit
- Chicago
- Los Angeles
It is always a treat to hear directly from the OIG and DOJ where their successes have occurred and what areas they are focusing on going forward.
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