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.
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).
