WASHINGTON, D.C. (August 12, 2020)—The Department of Health & Human Services (HHS) Office of the Inspector General (OIG) has a COVID-19 Portal covering various COVID-19 topics. Among them is a set of FAQs that is updated periodically.
OIG
WASHINGTON, D.C. (July 24, 2020)—The Centers for Medicare & Medicaid Services (CMS) could have saved $192 million by targeting home health claims for review with visits slightly above the threshold that triggers a higher Medicare payment, according to a new report from the Office of Inspector General (OIG) of the Department of Health & Human Services.
WASHINGTON, D.C. (September 13, 2019)—The Health and Human Services (HHS) Office of the Inspector General (OIG) recently released a report pertaining to home health agencies (HHA), “The Centers for Medicare & Medicaid Services Could Use Comprehensive Error Rate Testing Data To Identify High-Risk Home Health Agencies.”
Watch for streamlining of claims & new fee schedule determinations
BIRMINGHAM, Ala. (July 9, 2019)—More than 80% of Medicare-reimbursed hospice agencies were cited with a deficiency between 2012 and 2016, according to a new report issued by the U.S. Office of Health and Human Services (HHS); in 2016, 300--or 18% of all hospices in the country--had serious problems or complaints.
WASHINGTON, D.C. (October 4, 2018)—In June 2018, the Office of Inspector General for the Department of Health & Human Services reported that most Medicare claims for replacement positive airway pressure device supplies did not comply with Medicare requirements. A sample of 110 claims were reviewed, and 86 did not meet the requirements, totaling $13,414 in overpayments.
Conducting a mock audit shows good intentions to payers and auditors
2017 National Health Care Fraud Takedown
The Department of Health and Human Services Office of Inspector General, along with state and federal law enforcement partners, participated in the largest health care fraud takedown in history in July 2017. (Office of Inspector General)
LENEXA, Kan. (March 7, 2017)—Mediware Information Systems, Inc. is hosting a free webinar for attendees on Thursday, April 20, 2017, at 1:00 Central, 2:00 EST, to learn the latest DME requirements regarding copayments from Medicare beneficiaries and commercial patients. The webinar is entitled “Waiver or Reduction of Medicare and Commercial Co-Payments: What DME Providers Can and Can’t Do,” presented by Jeffrey S. Baird, of Brown & Fortunato, P.C.
LENEXA, Kan. (June 16, 2016)—Mediware Information Systems, Inc., is hosting a free webinar for attendees Wednesday, June 29, at 2 p.m. CST (3 p.m. EST) to discuss how to successfully grow your business through marketing strategies while staying within the law. The webinar is titled “Health Care Marketing Compliance 101: Protecting Your HME/DME from the OIG and DOJ,” presented by Matthew Agnew and Stephen Angelette of Polsinelli Health Care Regulatory Associates.
WASHINGTON, D.C. (June 9, 2016)—The Council for Quality Respiratory Care (CQRC)—a coalition of the nation’s leading home oxygen therapy provider and manufacturing companies—commended lawmakers in the House Ways & Means Health Subcommittee for reviewing legislation to sustain and improve the Medicare program, including the Patient Access to Durable Medical Equipment Act (PADME).
The impact of industry shifts on the evolution of point-of-care documentation
Will nationwide application be a reality later this year?
Referrals are the lifeblood of HME providers, but federal and state statutes establish careful parameters around these relationships