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7 Jan 2014, 7:07 am by Debra A. McCurdy
The OIG has issued a report focusing on individual clinicians who generated high cumulative Medicare Part B payments (defined for purposes of this report as more than $3 million in Part B services) in 2009. [read post]
11 Jun 2013, 6:55 am by Debra A. McCurdy
The OIG has issued a report entitled “Medicare and Beneficiaries Could Save Millions If Dialysis Payments Were Adjusted for Anemia Management Drug Utilization. [read post]
20 May 2015, 8:49 am by Debra A. McCurdy
The OIG also noted that more than half of Medicaid rebates owed by manufacturers for selected brand-name drugs were attributed to inflation-based add-on rebates. [read post]
17 Dec 2014, 3:52 am by Debra A. McCurdy
The OIG notes that access to care has taken on heightened importance as enrollment grows in Medicaid managed care programs. [read post]
11 Jun 2015, 8:11 am by Debra A. McCurdy
The HHS OIG has updated its FY 2015 Work Plan to reflect new and/or completed items since release of its Work Plan in October 2014. [read post]
14 May 2014, 4:42 pm by Debra A. McCurdy
According to the OIG, neither CMS nor MACs tracked the number of Part B claims or payment amounts for compounded drugs, nor do Part B claims contain information that can be used to systematically identify claims for compounded drugs. [read post]
18 Oct 2011, 11:16 am by autumn
Those working in hospice settings will want to take notice of the 2012 OIG Work Plan. [read post]
30 Jan 2013, 7:50 am by Debra A. McCurdy
According to the OIG report, Medicaid Third-Party Liability Savings Increased, But Challenges Remain, states reported that TPL savings increased from almost $34 billion in 2001 to more than $72 billion in 2011. [read post]
7 Jan 2014, 7:07 am by Debra A. McCurdy
The OIG report includes several recommendations for ONC and CMS to strengthen efforts to address fraud vulnerabilities in EHRs, with which the agencies concurred. [read post]
11 Jun 2013, 7:01 am by Debra A. McCurdy
The OIG has issued its latest Semiannual Report to Congress, covering the period of October 1, 2012 to March 31, 2013. [read post]
30 Jan 2014, 12:32 am by Debra A. McCurdy
The OIG recommends that CMS provide guidance to its contractors on detecting fraud associated with EHRs, including specific guidance addressing EHR documentation and electronic signatures in EHRs. [read post]
20 May 2014, 1:41 pm by Lisa Baird
The OIG estimates that enforcement of the proposed rule would result in an increase in CMP collections by the government. [read post]
29 Nov 2012, 9:34 am by Debra A. McCurdy
Nevertheless, the OIG believes that encouraging hospitals to assess POA reporting practices and retraining staff as needed could help to ensure reporting accuracy. [read post]
29 May 2009, 7:22 am
The OIG concluded that while the Proposed Arrangement could potentially generate prohibited remuneration under the anti-kickback statute, if the requisite intent to induce or reward referrals of Federal health care program business were present, the Office of Inspector General (“OIG”) would not impose administrative sanctions on the arrangement. [read post]
30 Nov 2012, 8:33 am by William Maruca
 CMS’s response appears as an exhibit to the OIG report at page 30. [read post]
19 Jul 2012, 5:10 am by Debra A. McCurdy
The OIG recently examined potential conflicts of interest that could affect the impartiality of Zone Program Integrity Contractors (ZPIC) -- Medicare contractors that perform program integrity activities designed to fight Medicare fraud, waste, and abuse. [read post]