Tag Archive | "OIG"
Prepare for an External Audit with Internal Audit
© Canadian Bar Assn. Use these strategies to update your compliance plan before an auditor strikes if you can. Although an audit is a routine function that the…
Continue reading...Should Health Care Organizations Equate Risk with Compliance?
Monday, May 10, 2010
Will your organization follow the trend of combining them? Compliance officers – and the health care organizations where they work – are often confused about how – or even whether – risk management and compliance should work together. “Risk management”…
Continue reading...Three Miami-Dade Residents Plead Guilty to Health Care Fraud
Monday, April 19, 2010
Fake HIV-related treatments said to bilk Medicare for a total of $82 million. The FBI, with a little assistance from its friends in the HHS OIG, helped the feds in Miami net three more people who thought they were smarter…
Continue reading...HHS OIG Recovers $4B in Penalties for Health Care Fraud
Monday, April 19, 2010
Three-quarters of investigations in 2009 involved shams; OIG reveals investigation secrets. While many of us would prefer to quickly forget 2009—the HHS OIG had a pretty good year. The OIG walked away with $4 billion in its hands at the…
Continue reading...Facet Joint Injections, Ultrasound Services on OIG’s Radar Screen
Monday, April 12, 2010
Know what the OIG’s watching to make sure you’re billing properly. The OIG makes recommendations to CMS throughout the year explaining where they’ve found that the government is losing money on health care and offering recommendations on how to stop…
Continue reading...Don’t Let Patients’ Financial Hardship Become Yours
Monday, April 12, 2010
Discounts and write-offs are options, if you follow these guidelines. That a patient may have trouble paying his bills because of financial difficulty is a discouraging fact of the modern economic climate. While you certainly remain concerned for your patients’…
Continue reading...Get Ready for More Modifier 59 Scrutiny
Monday, April 5, 2010
Modifier 59 misuse led to millions in overpayments. When the OIG talks, not everyone listens, a new report indicates. The OIG makes hundreds of recommendations each year, advising practices and carriers to tighten up documentation, correct their modifier use, or…
Continue reading...OIG’s New ‘Compendium’ Reveals Possible Part A& B Audit Targets
Monday, March 22, 2010
The OIG has combined the old red book and orange book to come up with a “Compendium of Unimplemented Recommendations,” the latest of which was published earlier this month. The document notes outstanding recommendations to save money in Medicare…
Continue reading...OIG Requests $40+ Million More Funds to Beef Up Fraud Detection
Monday, February 8, 2010
Note to physicians: Ratchet up your documentation skills now. The OIG has been on a roll over the past year, and they don’t intend to slow down anytime soon. The agency has requested an additional $41.5 million from the 2011…
Continue reading...OIG 2010 Work Plan Alerts Hospitals to Hot Compliance Areas
Monday, January 18, 2010
POA, PHI & adverse events will be hot spots this year. Make sure your hospital is ready for the new year by studying the HHS OIG’s 2010 Work Plan, which experts say includes a range of…
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Monday, June 7, 2010
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