The Obama administration is conducting targeted audits of hospitals to find possible upcoding of medical services related to use of electronic health records.
Don White, a spokesman for the HHS Office of the Inspector General, said the OIG is conducting audits of “specific institutions” on EHR-related overbilling.
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Obamacare critics have warned of a potential surge in improper federal subsidies due to the administration's recently announced delay in federal verification of income and lack of employer coverage to qualify for insurance subsidies on the state exchanges. A Wall Street Journal editorial called it the “liar's subsidy.” But Americans tempted to shade the truth to qualify for the generous subsidies should take a close look at other obscure provisions of the healthcare reform law.
The July 5 rule allowing those delays led supporters to highlight provisions in the Patient Protection and Affordable Care Act meant to discourage applicants from gaming the system and garnering federal subsidies to which they were not entitled. The law allows civil penalties of up to $25,000 for applicants who submit inaccurate information because of “negligence or disregard of any rules or regulations.”
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Delays in key provisions of the Patient Protection and Affordable Care Act last week last week are spawning congressional actions this week.
The Obama administration's surprise July 2 announcement that it will delay for one year the requirement that large employers provide qualifying insurance coverage for their workers or face tax penalties spurred told-you-sos from Republicans in Congress.
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