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16 Mar 2015, 6:06 am
A recent OIG report examines increasing use of CAH “swing-bed” services, which the OIG describes as being equivalent to services performed at a SNF, but which are reimbursed at 101% of a CAH’s reasonable cost rather than at the Medicare SNF PPS rate. [read post]
7 Nov 2014, 4:59 am
Every fall, the OIG publishes its Work Plan for the coming year. [read post]
20 Apr 2015, 6:35 am
The Petitioner sought guidance from the OIG as to whether sharing in these payments with the practice would violate the terms of the Petitioner's exclusion from federal health care programs and would potentially subject the Petitioner to additional administrative sanctions or other liability. [read post]
27 Mar 2013, 9:15 am
Building on previous OIG and Congressional scrutiny of PODs, the Special Fraud Alert details specific attributes and practices of PODs that the OIG believes “produce substantial fraud and abuse risk and pose dangers to patient safety. [read post]
8 Sep 2014, 7:12 am
The Office of Management and Budget (OMB) has cleared an HHS Office of Inspector General (OIG) proposed rule that would expand the OIG’s Medicare and state health care program fraud and abuse authorities. [read post]
16 Sep 2014, 2:57 pm
This OIG Alert warrants caution and careful evaluation of any applicable financial arrangements by affected physicians and medical practices to ensure compliance with federal law. [read post]
9 Dec 2011, 2:19 pm
" In its evaluation of the Proposed Arrangement, the OIG reviewed four (4) sub-arrangements: 1. [read post]
26 Mar 2013, 4:27 pm
The OIG goes on to provide a more detailed series of POD characteristics that elevate the level of fraud and abuse risk in the OIG’s view (reprinted at end). [read post]
12 Jun 2015, 9:19 am
The OIG reported that it recently entered into settlements with twelve physicians who had entered into questionable medical directorship and office staff arrangements, in which the OIG alleged the compensation paid to the physicians constituted illegal remuneration under the Anti-Kickback Statute. [read post]
10 Jul 2020, 2:13 pm
On July 1, 2020, the Department of Defense (DoD) Office of Inspector General (OIG) published its audit report. [read post]
19 Jul 2017, 8:25 am
Additionally, OIG will review: 7. [read post]
29 Mar 2022, 12:30 pm
Per OIG, Program Does Not Meet Safe Harbors But Presents Minimal Risk of Fraud and Abuse OIG identified two streams of remuneration that implicate AKS and the Beneficiary Inducement CMP and do not meet a safe harbor or exception. [read post]
12 Sep 2024, 7:27 pm
The OIG’s conclusions also appear to be focused on the fact that the PAP was not likely to steer Medicare enrollees to certain drugs or pharmacies. [read post]
1 Apr 2012, 11:25 pm
" According to the OIG, 35 of the 48 states that pay for any type of Medicaid therapy services (physical, occupational, or speech therapy) placed limits on the amount of services a beneficiary could receive. [read post]
24 Sep 2014, 1:08 pm
In other words, the OIG sees the glass as “half empty. [read post]
27 Jun 2012, 2:18 pm
The OIG has issued a report that assesses state oversight of services provided through 1915(c) home and community-based services (HCBS) waiver programs. [read post]
26 Jun 2015, 3:08 pm
HHS OIG Data Brief • June 2015 • OEI-02-15-00190. [read post]
1 Oct 2010, 12:06 pm
Specific areas of interest for HHS-OIG’s Office of Audit Services include: (1) Patient plans of Care, (2) Physician supervision and (3) Certification requirements. [read post]
11 Nov 2015, 8:00 am
As a result, the OIG identified 44 covered entities OCR had investigated more than once, nearly half of which had been investigated by OCR at least five times each. [read post]
25 Jun 2014, 6:28 am
MIPPA also requires the OIG to complete a study to determine market shares of diabetes test strips in the Competitive Bidding Program. [read post]
