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OIG Releases Updated Provider Self Disclosure Protocol
The Office of Inspector General (“OIG”) of the Department of Health and Human Services (“HHS”) has issued a revised version of its Provider Self-Disclosure Protocol (“Updated SDP”), dated April 17,...
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OIG lets State Medicaid Fraud Units use Federal Funds for Analytics
States will soon be able to use federal matching funds to finance data analytics for Medicaid fraud prevention, under regulations finalized by the Department of Health and Services’ Office of the...
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California Women Incarcerated for $11.1M Medicare Fraud
A federal judge on Wednesday handed a 51-month prison sentence to a woman who defrauded the Medicare program of $11.1 million in a medical equipment billing scheme, Nevada’s U.S. Attorney Daniel Bogden...
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OIG: CMS Should Establish Transfer Payment Policy for Eary Discharges to...
The OIG recently issued a report, found at www.kslaw.com, concerning the potential financial impact to Medicare Part A if CMS established a hospital transfer payment policy for early discharges to...
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Jail Setence for Owner of Louisiana DME Company
The owner Louisiana durable medical equipment (DME) company was sentenced today to serve 97 months in prison for his role in a $6.7 million Medicare fraud scheme, announced Acting Assistant Attorney...
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Lawmakers call on OIG to investigate competitive bidding
In a June 21 letter to the Office of the Inspector General (OIG), Reps. Glenn Thompson, R-Pa., and Bruce Braley, D-Iowa, call on the agency to investigate the possibility that CMS deliberately...
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OIG to CMS: Rein in CPAP supplies
The Office of Inspector General (OIG) recommends that CMS review and revise the replacement schedule for CPAP supplies in a report published today (June 26). The OIG studied the replacement schedules...
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Hospitals Voice Frustration to Senators About Burdensome RAC Audits
On June 25, 2013, the Senate Committee on Finance heard testimony from hospital representatives and a recovery audit contractor (RAC) representative regarding burdensome audit procedures. RACs were...
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OIG: Data Entry Issues may Cost Medicare Over $500 Million
The Medicare system may never collect more than $543 million in overpayments made in 2010, a federal inspector general’s report released Tuesday shows, because Medicare entered only a summary of each...
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Competitive Bidding Prices coming to Medicaid?
A Recent OIG report suggests Texas Medicaid DMEPOS costs may be exceeding medicare costs in Competitive Bidding Areas. WHY OIG DID THIS STUDY States establish their Medicaid payment amounts for all...
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OIG targeting Medicare ambulance trips
Ambulance trips for dialysis treatment rose 269 percent for Medicare recipients between 2002 and 2011, while the number of covered trips overall rose 69 percent, the Office of Inspector General found...
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OIG Finds Medicare Billing Errors at Morton and UCH Memorial Hospitals
Two recent reports from the HHS Office of Inspector General have found billing errors led to Medicare overpayments at two separate hospitals. At 154-bed Morton Hospital in Taunton, Mass., which is part...
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HME News: OIG outlines work plan
The Office of Inspector General (OIG) has several new HME-related projects in the works for 2014, including a review of the reasonableness of the Medicare fee schedule. In its recently released 2014...
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OIG Releases Round 1 Rebid Report
The Department of Health and Human Services Office of Inspector General released its report on the bidding program’s Round 1 Rebid. The report is based on a random sampling of winning suppliers and...
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OIG Issues Report on Limited Compliance with Medicare’s Face-to-Face...
On April 9, 2014, the US Department of Health and Human Services Office of the Inspector General’s (OIG) Office of Evaluation and Inspections (OEI) issued a report (OEI-01-12-00390) entitled “Limited...
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Physician Owned Distributorship Concerns Continue to Make News
On June 17, 2014, Southern California Public Radio affiliate KPCC broadcasted a report about physician-owned distributors of implantable medical devices (“PODs”) and the legal and ethical concerns that...
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