The OIG updated their Work Plan this week. Through the update, they announced they will be conducting audits of hospital bad debt. Specifi...
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...
OIG Issues Semiannual Report to Congress
The OIG has issued their Semiannual Report to Congress for the reporting period October 1, 2019 to March 31, 2020. The report details the OIG’...
Updates to the OIG Work Plan
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...