Identifying compliance trends and proactively evaluating them within your organization is a key component of an effective program. As consultant...
The 2021 Medicare FFS Improper Payment Report
The 2021 Medicare Fee-For-Service Improper Payments Report was released last week. The report is a valuable resource for healthcare compliance p...
OIG Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the period April 1, 2021 through September 30, 2021. The report highlights nearly...
Physician Emergency Department Encounters to be Audited
The August update to the OIG Work Plan has been released. The most recent update includes auditing of Medicare professional emergency depar...
OIG Report on CCM Overpayments
The OIG recently released a report that found CMS has continued to make overpayments for Chronic Care Management (CCM) services despite prior audit re...
OIG to Audit Physician Reporting of Place of Service
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...
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