WASHINGTON—The Department of Health and Human Services (HHS) and the Office of Inspector General (OIG) released their fall 2024 semiannual report to congress (SAR), which found more than $7 billion in expected recoveries and receivables from misspent Medicare, Medicaid and other health and human services funds.
WASHINGTON—The Office of the Inspector General (OIG) conducted an audit of 25 selected home health agencies (HHA) to determine if they expended taxpayer funds in accordance with the terms, conditions and requirements for Provider Relief Fund (PRF) payments. As a result of the review, the selected HHAs were found compliant with PRF guidelines.
WASHINGTON—The Office of the Inspector General (OIG) conducted an audit to determine whether Medicare Part B properly paid for durable medical equipment, prosthetics, orthotics and supplies to hospice enrollees from the time period of 2017 through 2021. This audit took place in order to follow up on a prior OIG audit, which found Medicare Part B improperly paid suppliers for such supplies.
WASHINGTON—The Office of the Inspector General (OIG) reviewed Medicare Advantage (MA) companies’ use of health risk assessments (HRAs), which often increase payments to MA plans by billions of dollars. As a result of the review, OIG offered suggestions to the Centers for Medicare and Medicaid Services (CMS).
WASHINGTON—The Office of Inspector General (OIG) updated its work plan with two new durable medical equipment, prosthetics/orthotics and supplies-related reviews, the American Association for Homecare wrote in a recent e-newsletter to members. The OIG is part of the U.S. Department of Health and Human Services and is an independent office that reviews the department for fraud, waste and abuse.
The American Association for Homecare (AAHomecare) reported that last week, the HHS Office of Inspector General (OIG) began sending emails and letters to a select group of continuous glucose monitor (CGM) suppliers as part of an evaluation for its study "Medicare Payments Compared to the Prices Available to Consumers and Suppliers for Continuous Glucose Monitors and Sensors." This study aims to determine the cost-effectiveness of Medicare payments in comparison to the supplier’s acquisition c
WASHINGTON—A new report from the HHS Office of Inspector General (OIG) puts a spotlight on potential access issues for patients served by Medicaid Managed Care Organizations (MCOs).
The report lists three factors that may be preventing medically necessary care:
GREENVILLE, Miss. (April 8, 2022)—A federal jury convicted a Cleveland, Mississippi physician on charges of conspiracy to commit health care fraud for his role in referring and certifying patients to hospice who were not terminally ill and should not have been placed on hospice care.
WASHINGTON, D.C. (February 22, 2022)—Medicare paid a total $6.6 billion to nonhospice providers for services provided to hospice beneficiaries between 2010 and 2019, according to a new report from the U.S. Department of Health & Human Services Office of the Inspector General (OIG).
HOUSTON (December 14, 2021)—In the first extradition from the Republic of Cameroon to the United States, a Texas man was extradited to Houston on Friday to serve an 80-year prison sentence he received in absentia four years ago after he pleaded guilty in two separate cases to conspiracy, health care fraud, money laundering and tax offenses.
WASHINGTON, D.C. (January 26, 2021)— The Health and Human Services Department’s Office of the Inspector General (OIG) has launched an audit of home health services provided through telehealth during the COVID-19 public health emergency to verify that providers aren’t doing more than they’re supposed to do to qualify for reimbursement.
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.
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.”
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.
