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.
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.
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.
HHS OIG Acting Inspector General, Joanne M. Chiedi releases the Fall Semiannual Report to Congress, summarizing department activities and accomplishments.
Learn more about the latest CMS rule designed to combat fraud in healthcare and its implications for your organization.
As CMS releases the final rule around Program Integrity Enhancements to the Provider Enrollment Process, prepare for new affiliations and disclosure requirements.