May 2020 HHS OIG Work Plan Updates

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May HHS OIG Work Plan updates include audits of nursing home infection prevention and control program deficiencies and COVID-19 oversight, a review of the CARES Act, Medicare Part D payment reporting, and more.

April 2020 HHS OIG Work Plan Updates

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April HHS OIG Work Plan updates include an audit of COVID-19 testing kits, a report on Medicare Part D opioid use in 2019, a report on hospitals’ emergency infectious disease preparedness, and more.

March 2020 HHS OIG Work Plan Updates

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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.

February 2020 HHS OIG Work Plan Updates

February 2020 Workplan

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 CMS Require NPIs for Ordering Providers

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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 2020 HHS OIG Work Plan Updates

HHS OIG Work Plan January 2020

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.