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.”
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?...
CMS and providers have reason to celebrate
By
Elizabeth Newman
Sep 16, 2016
I encourage providers to pause and pat themselves on the back. That’s because 30-day hospital readmission rates have dropped in all states except one over the past five years.
SNF therapy billing controversy rises from the dead
By
Elizabeth Newman
Oct 02, 2015
Despite my love of Halloween, there is one component of it that is distinctly not for me: Horror movies. Still, I’m enough of a pop culture enthusiast that I can appreciate those with an appetite...
Connecting the hospice compliance dots
By
Debbie Newsholme, CCEP, CHC
Mar 23, 2015
If someone asked you if your hospice was compliant with the Centers for Medicare & Medicaid Office of Inspector General’s Effective Compliance Program Guidance for Hospice, what would you tell them?
A time for providers to savor the good
By
James M. Berklan
Feb 11, 2015
It’s true that there is danger in not stopping to smell the roses. Yet, in long-term care, it’s understandable if you do just that, given how many hassles are tossed your way.