Yesterday, CMS released the Medicare Advantage (MA) Risk Adjustment Data Validation Final Rule. The Final Rule is intended to strengthen the acc...
2022 Medicare Improper Payments Data
2022 Medicare Fee-For-Service Improper Payments Report was just released. The report identified an estimated $31.46 billion in improper payments...
OIG Fall 2022 Semiannual Report
The OIG has issued their Semiannual Report to Congress for the period April 1, 2022 through September 30, 2022. The report highlights over $4 billi...
New OIG Audit Findings
The OIG has released two new reports detailing high payment error rates for Advanced Care Planning and Assistant at Surgery and Co-Surgeon Services. A...
OIG Work Plan Update
In their most recent Work Plan update, the OIG announced they will conduct a nationwide audit of inpatient rehabilitation facilities (IRFs) and review...
Fraud Self-Disclosures, What We Can Learn
“Everyone else is doing it” is a phrase we often hear in response to findings of compliance risks and violations. Naturally, no one ...
OIG Targets Critical Care Services
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...