Provider Fraud Case Study
FY 12 Recoveries2 Total $ 113,920.04
1 OWCP may apportion recoveries from provider fraud to various agencies. Settlements stemming health care provider fraud typically reflect as a credit on the agency end-of-year Chargeback Report.
It is clear that OWCP need to establish National and district level fraud units to pursue collections and process treasury collections. The agencies should not bear the financial burden of restitution payments that OWCP is failing to pursue.
Allow USPS to develop an Outsourcing program as enhancement to OWCP’s rehabilitation program, and establish medical specialist panel reviews for periodic roll cases.
After payment has begun, the CE is responsible for obtaining medical and non-medical evidence to
1 OWCP may apportion recoveries from provider fraud to various agencies. Settlements stemming health care provider fraud typically reflect as a credit on the agency end-of-year Chargeback Report.
It is clear that OWCP need to establish National and district level fraud units to pursue collections and process treasury collections. The agencies should not bear the financial burden of restitution payments that OWCP is failing to pursue.
Allow USPS to develop an Outsourcing program as enhancement to OWCP’s rehabilitation program, and establish medical specialist panel reviews for periodic roll cases.
After payment has begun, the CE is responsible for obtaining medical and non-medical evidence to