The OIG has released a new audit report of critical care services. The audit revealed a significant error rate and identified the following deficien...
OIG Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the period October 1, 2021 through March 31, 2022. The report highlights nearly $3 billi...
The DOJ is Set to Increase Criminal Enforcement
The United States Attorney General recently discussed the 2022 priorities of the Department of Justice (DOJ). In his remarks he indicated the DOJ wi...
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...
OIG to Audit High Risk DRGs
The OIG has released the November update to their Work Plan. The most recent update includes plans to audit hospital claims billed with mechanical v...
Increased Enforcement for Risk Adjustment Coding
Risk adjustment coding has the been source of several recent large, false claims act settlements and is also the topic of a recent OIG Work Plan Audit...
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...