There are several notable additions to the OIG Work Plan which include: Medicare Part B Payments for Co-surgery Procedures – The focus will be on au...
CMS Issues Emergency Coverage Expansion of Telehealth Services
Today, CMS announced a waiver of the current telehealth coverage requirements to allow more providers the ability to offer telehealth and virtual serv...
The OIG Identifies Overpayments for CCM
The OIG released a report that revealed Medicare made hundreds of thousands of dollars in overpayments for chronic care management (CCM) services whic...
The DOJ Settles “Incident to” False Claims Case
The Department of Justice (DOJ) recently announced a False Claims Act settlement with a family practice physician who improperly billed “inciden...
The OIG Has Released New Hospital Compliance Audit Reports
The OIG recently released three new hospital compliance audit reports. The audits, which focused on both outpatient and inpatient claims, from 2...
OIG Identifies $5.9 Billion in Recoveries
Yesterday, the Office of Inspector General (OIG) issued their Semiannual Report to Congress which estimates nearly $5.9 BILLION in expected recoveries...
OIG Identifies $54 Million Overpayment Related to Incorrect Reporting of Discharge Status
Last week, the OIG released a report detailing their findings of an audit targeting compliance with Medicare’s post-acute-care transfer policy. ...
OIG Work Plan Update
The OIG monthly Work Plan was released just last week with several notable additions. Speech Therapy Services – The focus will be outpatient therapy...
Corporate Compliance and Culture- Understanding Your Entire Organization
The concept of an effective compliance program is one that has gained tremendous attention from the government. The simple existence of a compli...