WASHINGTON—A recent report shows Medicare has continued to improperly pay millions for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) provided to enrollees during inpatient stays despite a major audit in 2018 and subsequent fix in 2020.
WASHINGTON—The U.S. Department of Human Services Office of the Inspector General (OIG) released a review of Medicare Part B payment trends for wound care products known as skin substitutes that the office said “raises major concerns about fraud, waste and abuse.”
In March 2023, OIG issued a report that identified significant gaps in manufacturer compliance with new average sales price (ASP) reporting requirements for skin substitutes.
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) 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 Center for Medicare & Medicaid Services (CMS) recovered Medicare payments to providers under the COVID-19 Accelerated and Advance Payment (CAAP) programs in compliance with federal requirements, according to an audit conducted by the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG).
