Tag Archive | "OIG"

OIG and CMS Are Both Watching Drug Specimen Validity Testing … Are You?

Friday, April 6, 2018

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Coding for drug testing and specimen validity testing was the focus of recently released MLN Matters SE18001. At the end of the MLN article, there’s a link to an OIG report on the topic revealing millions in improper payments. If CMS and the OIG consider something you code worthy of focus, you really should read […]

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Don’t Get Too Comfortable With That Meaningful Use Payment – Here’s Why

Tuesday, June 20, 2017

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When the title of an OIG report is about Medicare paying out hundreds of millions it shouldn’t have, that’s not great news for Medicare or the providers who got those funds. But that’s exactly what a report released June 12, 2017, says: “Medicare Paid Hundreds of Millions in Electronic Health Record Incentive Payments That Did […]

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What You Need to Know About the 2017 OIG Work Plan

Friday, January 13, 2017

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The 2017 HHS OIG Work Plan is out, revealing what’s in the crosshairs for special scrutiny. There’s a good chance there’s something in its 101 pages that affects you. Make sure your team’s work is up to scratch on these topics listed in the Medicare Parts A and B/Other Providers & Suppliers section of the […]

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OIG to Office for Civil Rights – Enforce Your Own Standards

Friday, October 2, 2015

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The U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) wants the HHS’s Office for Civil Rights (OCR) to do a better job of enforcing its own standards, according to a report the OIG issued in September. Report: OCR Fails to Protect Patients The OIG’s report says that when covered […]

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Your Present Financial Arrangements Can Land You In Sticky Situations

Wednesday, June 6, 2012

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Recently the government announced that its takedown made over 100 health care professionals to go out of business, thus reiterating the need to ensure that your compliance plan is secure. Check out these quick tips that can keep you out of hot water. Helping With Copays Could Hurt You With insurance restrictions on many Part […]

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OIG to Send List Of Docs Who Overbilled High-Level E/M Codes

Thursday, May 31, 2012

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Take time to examine your practice’s E/M trend line and see if your frequency of reporting high-level E/M codes has increased dramatically over the years. If that has happened, be ready to find the reasons why, before your MAC begins forcing you to make that determination. A recent OIG study revealed that physicians increased their […]

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