Healthcare fraud rampant, but OIG refines its focus on nursing homes
By
Neville M. Bilimoria
Feb 19, 2024
For 2024, healthcare fraud has already been rampant, according to the U.S. Department of Health and Human Services Office of Inspector General. But on Jan. 19, the OIG took a specific stance with...
OIG signals new focus on nursing homes
By
Neville M. Bilimoria
Feb 17, 2023
The federal Office of Inspector General recently published its “OIG’s Top Unimplemented Recommendations: Solutions To Reduce Fraud, Waste, and Abuse in HHS Programs.” In the 94-page document,...
Stricter audits may be on the horizon from the OIG
By
Norris Cunningham
Kennedy Bunch
Devin Zimmerman
Jan 11, 2023
Long-term care facilities and providers should brace themselves for what may be an uptick in enforcement activity from Medicaid Fraud Control Units (MFCUs) in the coming year. In 2023, the U.S. Department...
The coming crackdown: COVID-19 and beyond
By
Karen Christian
Matthew Hittle
Apr 21, 2021
For more than a year, America’s nursing homes have been besieged by the COVID-19 pandemic, which has tragically claimed the lives of more than 130,000 residents and 1,600 staff. While America’s nursing...
COVID-19 strategies: WWOT (What would Oprah think?)
By
James M. Berklan
Apr 02, 2021
I have a message for the Department of Health and Human Services: “Boy, do you have a problem.”
CMS wrongly allowed nursing homes $18 million in medical equipment, investigators say
By
Elizabeth Newman
Jul 02, 2018
The Centers for Medicare & Medicaid Services did not detect $18.4 million in inappropriate claims for durable medical equipment in skilled nursing facilities, despite having systems intended to catch bad...
Office of Inspector General voluntary disclosures — should I or shouldn’t I?
By
Richard Cheng
May 16, 2018
Nursing facility operators might be faced with this dilemma: Should I or shouldn’t I provide an overpayment self-disclosure to the Department of Health and Human Services Office of Inspector General?...
Watchdog says nearly one-third of CMS telehealth payments were improper
By
Kimberly Marselas
Apr 16, 2018
The growing drumbeat for greater use of telehealth in long-term care may have encountered a muffler.
Therapy overpayments may surpass $700 million a year, OIG suggests
By
Kimberly Marselas
Mar 27, 2018
A federal review of outpatient physical therapy payments found Medicare likely overpaid $367 million during a six-month period.
Skilled nursing company pays $142k to settle allegations of prohibited-employee use
By
Kimberly Marselas
Mar 15, 2018
Southwest Trinity Management has agreed to a $142,000 settlement to resolve allegations that a skilled nursing facility it owns and manages employed a nurse who was excluded from participating in any federal...