The OIG has released the June update to their Work Plan. The most recent update includes evaluation of physician reporting of place of service (...
OIG Conducts Audits of Medicare Payments for Polysomnography Services
The OIG has recently published several audit reports for polysomnography services provided to Medicare beneficiaries. The OIG selected samp...
OIG Releases Semi Annual Report to Congress
The OIG has issued their Semi Annual Report to Congress for the period, October 1, 2020 through March 31, 2021. The Spring 2021 Semi Annual ...
OIG Highlights Hospital Coding & Billing Risk Areas
With the slowing of COVID-19 cases in many parts of the country, CMS and the OIG are getting back to auditing high risk areas of regulatory compl...
OIG Recommends Targeted Audits of MS-DRGs
Last week, the OIG released a report on Part A claims for inpatient hospital stays from FY 2014 through FY 2019. The report indicates that approximate...
2020 Report on Improper Medicare Payments
The 2020 Comprehensive Error Rate Testing (CERT) report was published last week. The report details information regarding fee-for-service (FFS) paym...
CMS Announces Medical Reviews Starting August 3, 2020
CMS announced through an FAQ that it will resume its Fee-For-Service (FFS) medical reviews that were previously suspended due to the COVID crisis...
Incorrect ICD-10 Assignment of Severe Malnutrition Leads to Massive Hospital Overpayments
Last week, the OIG issued a new audit report that estimates $1 Billion in Medicare overpayments to hospitals due to improper ICD-10 assignment for sev...
June Update to the OIG Workplan
The OIG has issued the June update to their Workplan. The newest update contains a couple of notable additions for providers. Advanced Care Plan...
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