March HHS OIG Work Plan updates include CMS protocol for assessing hospitals' compliance with the Conditions of Participation, Medicare hospital payments involving acute and post-acute care transfer policies, and more.
We had a blast at the 2020 HCCA Managed Care Conference. Take a look at some of the highlights from the event.
February HHS OIG Work Plan updates include a review of the impact on MA risk adjustment payments, Medicare Part D audits, MCO and PBM pricing, Medicaid waiver programs, and more.
HHS OIG recommends that CMS require MAOs to submit NPIs for ordering providers. Explore the reasons why this information would be helpful to prevent FWA, and the concerns from payers in regard to the accuracy of CMS encounter data.
January HHS OIG Work Plan updates include a review of IRF early transfer policies, an audit of the Office of Refugee Resettlement's placement and transfer of children, an audit for CMS Medicaid PERM program, and more.
Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.
The steady rise in demand for home health and personal care services and lack of certain controls has produced vulnerabilities in government healthcare programs to eliminate fraud, waste, and abuse.
December HHS OIG Work Plan updates include reviews and audits of the UAC program, cyber security controls for VAERS, national background checks for long term care facilities, and more.
HHS OIG Acting Inspector General, Joanne M. Chiedi releases the Fall Semiannual Report to Congress, summarizing department activities and accomplishments.
November HHS OIG Work Plan updates include HHS IT audits, an opioid crisis toolkit, MAO collection of ordering provider information, MFCU oversight, and more.
October HHS OIG Work Plan updates include supplier Medicare compliance, hospice cap calculations, Medicare Part B payment reviews, FDA medical device surveillance, and more.
Learn more about the latest CMS rule designed to combat fraud in healthcare and its implications for your organization.
September HHS OIG Work Plan updates cover the ORR efforts to ensure health and safety of unaccompanied children, reviews of Medicaid specialty drugs, and an evaluation of new policies for Indian Health Services.
As CMS releases the final rule around Program Integrity Enhancements to the Provider Enrollment Process, prepare for new affiliations and disclosure requirements.
August updates to HHS OIG Work Plan include a review of the use of telehealth in Medicaid Managed Care, an investigation into Medicaid and Medicare Part D in overprescribing, nursing home oversight reporting, and more.
