On Oct. 31 (an ironic coincidence?) a report from the Office of inspector General frighteningly said Medicare paid some $23 million in benefits for more than 17,000 dead people in 2011. And my husband says I waste money.
Hospice providers could soon be facing more recertification surveys, if the Department of Health and Human Services Office of Inspector General has any say in it.
Recovery audit contractors might be better at reviewing Medicare claims than critics allege, but the Centers for Medicare & Medicaid Services could improve RAC performance evaluations, according to a new government report.
When you complain about bizarre government conditions or regulations, as columnists are wont to do, you usually have to assume you're just whispering into a stiff wind. But now comes word that no less than the Office of Inspector General of your Department of Health and Human Services is jumping on the bandwagon to change the hospital "observation stay" madness.
Medicare is making questionable payments for diabetes test strips used by residents of skilled nursing facilities, according to a report from the Department of Health and Human Services Office of Inspector General.
A government investigation could shed much-needed light on the Medicare competitive bidding process for durable medical equipment, prosthetics and supplies, according to Cynthia Morton, executive vice president of the National Association for the Support of Long-Term Care.
With all the recent regulatory changes that have come down the line, or are about to, we developed a simple five-question survey that each provider had to ask every therapy employee. If you can develop strong policies and procedures based on these questions, you will have a good offensive game plan in place.
What is this world coming to? When you complain about bizarre government conditions or regulations, you usually have to assume you're just whispering into the wind.
A government investigation into nursing homes' antipsychotic prescribing practices will not move forward due to budget and staff cuts, according to nonprofit investigative news organization The Center for Public Integrity.
A New Jersey-based outpatient therapy provider should pay back the government for $3.1 million in improper Medicare reimbursements identified in a recent audit, according to the Department of Health and Human Services' Office of Inspector General.
How can the Centers for Medicare & Medicaid Services correlate quality of care and reimbursement? You always need to remember that Medicare is an insurance plan. As such, Medicare has rules, just like your insurance company. Two of those rules are that we must provide care according to an individualized care plan for each resident and that we provide appropriate discharge planning.
Nursing homes can now refer to newly updated government guidelines on hiring or contracting with people excluded from participating in federal health programs.
Federal authorities cracked down on another regional long-term care provider recently, reaching a roughly $2.7 million settlement in a lawsuit centering on alleged false therapy billing.
Skilled nursing facilities collected Medicare payments of $5.1 million in 2009 for care that did not satisfy government quality measures, according to a report released Thursday. Prominent nursing home advocates say they're taking the report seriously but counter that the Department of Health and Human Services Office of Inspector General (OIG) is presenting an incomplete picture.
The Centers for Medicare & Medicaid Services should press states to repay about $225 million in Medicaid overpayments accrued over a 10-year period, according to a recent report from the Department of Health and Human Services Office of Inspector General (OIG).
I'm an administrator and am being recruited by a skilled nursing facility with past legal troubles. What should I do to satisfy myself that this facility has cleaned up its act and would be a good place to work?
Providers will have to hold their breath a little longer after receiving Medicare payments, thanks to a little-publicized provision of recently signed fiscal cliff legislation.
The Office of the Inspector General's recent report about what it calls $1.5 billion in inappropriate Medicare payments to skilled nursing facilities should be yet another wake-up call to providers.
A facility that has proposed to offer grocery store gift cards in return for health screenings or clinical services will be sanctioned, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) has announced.
Concerns about home- and community-based services (HCBS) at assisted living facilities were raised in a report released Tuesday by the Health and Human Services Office of Inspector General.
Regardless of whether you are big or small, nursing facility leaders need to be much more vigilant with compliance program efforts.
In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.
EMRs are expected to become the norm for healthcare providers in the future. But in the infancy of their use, they lack oversight and safeguards, a new report says.
Tennessee needs to toughen up its Medicaid false claims law, the federal government says, and that might not be good for providers.
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.
What happens when delegation without accountability takes place? We saw a good example last week, when the Office of Inspector General released a damning report about excessive Medicare charges from nursing homes.
Nursing home advocates are expected to kick into high-gear defense mode after a new federal report asserted Tuesday that providers are overcharging Medicare to the tune of $1.5 billion annually.
Nineteen percent of long-term care nursing aides who were found guilty of on-the-job abuse, neglect, or property theft in 2010 had prior criminal convictions, a federal report revealed this week.
Federal officials need to provide clearer guidance and offer a more streamlined protocol for providers willing to self-disclose Medicare overpayments, a leading long-term care group says.
A multimillion dollar Medicare fraud-fighting command center unveiled by the federal government a week ago is already drawing fire from two Republican lawmakers.