Inspector General

Cash-strapped feds to cut back Medicare oversight this year, OIG official says

Cash-strapped feds to cut back Medicare oversight this year, OIG official says

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One of nursing homes' most vigilant government watchdogs plans to dramatically curb its activities this year, a federal official has told the House Ways & Means Subcommittee on Health. The Department of Health and Human Services Office of the Inspector General anticipates reducing Medicare and Medicaid oversight activities overall by 20% in fiscal year 2014.

Part A claims under scrutiny

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Government investigators will issue a report on skilled nursing facilities' Medicare Part A billing practices later this year, according to the latest annual work plan from the Department of Health and Human Services Office of the Inspector General.

When we talk about providing good care, what do we really mean?

When we talk about providing good care, what do we really mean?

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In case you haven't noticed, "quality" is quite the buzzword in long-term care these days.

Fraud investigations, audits bring dramatically rising 'savings,' OIG reports

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The projected recoveries to the federal government from fraud-related audits and investigations are expected to rise 33% — or by $1.7 billion — in fiscal 2012, the Department of Health and Human Services Office of the Inspector General said this week.

Providers urge federal investigation into inaccuracy of RAC audits

Providers urge federal investigation into inaccuracy of RAC audits

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A major hospital group has called for a federal investigation into mistakes made by recovery audit contractors. "Numerous inaccuracies" often result in improperly denied payments and decisions that go unpenalized, laments a letter sent by an American Hospital Association leader.

Healthcare waste accounts for a third of all spending, government official says

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With healthcare waste taking up to a third of all healthcare costs, reducing waste and fraud remain primary goals of the Office of the Inspector General, the head of the agency said Monday.

Footloose with Medicare dollars?: Investigators concerned by sharp increase in artificial feet

Physicians and federal investigators are concerned about a dramatic surge in Medicare spending for artificial feet for beneficiaries. While the number of diabetes-related lower limb amputations is falling, Medicare spending on artificial feet grew 60% in the last few years, according to an Associated Press investigation.

Adverse events in older adults are underreported in hospitals, report says

Adverse events for Medicare beneficiaries are underreported in hospitals, where incident reporting systems only capture about 14% of errors, according to a government report released Friday.

Feds target individuals, not just companies, in healthcare fraud cases

In an effort to crack down on healthcare fraud repeat offenders, the federal government is going after individuals at nursing home chains, drug companies, medical device manufacturers and other providers that receive Medicare and Medicaid funding, according to the Associated Press.

Inspector General report: 1 in 7 nursing home residents are incorrectly prescribed psychotropic medications

Inspector General report: 1 in 7 nursing home residents are incorrectly prescribed psychotropic medications

As many as one in seven elderly nursing home residents, most of whom have dementia, are being prescribed expensive, powerful antipsychotic medications that increase the risk of death, according to a report from the federal Office of the Inspector General. Providers counter that the research reflects outdated practices.