Bill would expand civil monetary penalties related to HHS
Jul 08, 2015
The newest version of the House’s 21st Century Cures bill would expand civil monetary penalties to cover false claims related to contracts and grants funded by Medicare and Medicaid, as well as other...
Reporting neglected, OIG says
Oct 01, 2014
Slightly more than half of the nation’s nursing facilities reported abuse or neglect allegations as required in 2012, a new report from the Office of Inspector General alleges. Such relatively low...
OIG: Nursing homes correctly reported 53% of abuse or neglect allegations in 2012
Aug 19, 2014
Only about half of nursing facilities correctly reported abuse or neglect allegations in 2012, indicating that the government needs to provide more guidance and oversight, according to a new report from...
OIG revenues off $1 billion as oversight relaxes
May 28, 2014
Revenues from Department of Health and Human Services Office of Inspector General audits and investigations for the the first half of fiscal 2014 are expected to drop almost $1 billion from the same period...
OIG finds ‘observation stay’ problems, calls for reform
James M. Berklan
Sep 01, 2013
Long-term care groups are among those hailing a federal study that raises critical questions about hospitals’ apparent over-use of “observation stay” designations for patients.
Ask the payment expert … about quality and reimbursement correlations
Jun 01, 2013
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...
Federal investigators find nursing home alternative a prime target for fraud, abuse
Nov 19, 2012
Medicaid personal care services are ripe for abuse, according to a new report from the Department of Health and Human Services’ Office of Inspector General.
OIG: Medicare overpaid home health agencies $5 million in 2010 for dubious claims
Aug 06, 2012
Home health agencies received $5 million in overpayments for dubious Medicare claims filed in 2010, federal investigators have found.
OIG: Cutting Medicare and Medicaid fraud still a top concern
Feb 03, 2012
Eliminating Medicare and Medicaid fraud should be a priority for the Department of Health and Human Services as it works to implement healthcare reform programs, according to a new report.
IG wants benchmark pricing for drugs
Jul 20, 2011
The Department of Health and Human Services Office of Inspector General would like to see a national drug pricing benchmark. In a letter to the Centers for Medicare & Medicaid Services, the IG said the...