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20 Nov 2015, 9:00 am
The 2016 Work Plan identifies the new and ongoing investigative, enforcement and compliance activities that the OIG will undertake. [read post]
20 Nov 2015, 9:00 am
The 2016 Work Plan identifies the new and ongoing investigative, enforcement and compliance activities that the OIG will undertake. [read post]
15 Feb 2011, 1:31 pm by WIMS
" OIG said the Agency did not clearly agree or disagree with OIG recommendations. [read post]
21 Jun 2016, 12:53 pm by Debra A. McCurdy
While the OIG cites CMS efforts undertaken this year to improve oversight of provider-based facilities, including implementing new place-of-service codes and modifiers on claims, the OIG expressed concern that CMS still may not be able to identify all provider-based billing and potential overpayments based on claims data. [read post]
16 May 2022, 5:00 am by Wachler & Associates, P.C.
OIG also determined that about 18% of MA claim denials in fact met Medicare coverage and Medicare Advantage billing rules. [read post]
9 Feb 2011, 5:13 pm
All of these resources can be found at the OIG Physician Education Training Materials page and are valuable resources for all physicians. [read post]
25 Oct 2022, 5:00 am by Wachler & Associates, P.C.
Advisory opinions issued by HHS OIG are legal opinions that are issued to the requesting parties that apply OIG’s fraud and abuse authorities to the requesting parties’ current or proposed business arrangement. [read post]
7 Oct 2010, 1:52 pm
The OIG will scrutinize payments made under Part B's HHA prospective payments. [read post]
18 Apr 2013, 7:44 am
The OIG reports that through the SDP, the OIG has resolved over 800 disclosures and returned more than $280 million to the U.S. government. [read post]
30 Sep 2010, 3:48 am by The Health Law Partners
On September 28, the Office of Inspector General (OIG) posted Advisory Opinion 10-20 in which it analyzed another pre-authorization arrangement. [read post]
22 Aug 2016, 1:15 pm by Debra A. McCurdy
The OIG suggests that CMS consider requiring that an entity be operated by a unit of government in order to certify the expenditures as the state’s share of Medicaid expenditures. [read post]
18 Oct 2010, 1:19 pm
With respect to the Medicare appeals process, the OIG plans to review and examine the following: [read post]
8 May 2013, 8:06 am
Despite this report not containing recommendations to CMS, as OIG reports typically include, the OIG intends to provide CMS with recommendations in a follow-up report after the OIG completes its medical record review. [read post]
13 Oct 2015, 11:56 am by Debra A. McCurdy
In response to rising Medicare Part B payments for ambulance transports and continuing concerns about program vulnerabilities, the OIG has once again reviewed Medicare claims for ambulance services. [read post]