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OIG: Less than half of states ready for the pandemic — is yours?
Perhaps you can never be 100% prepared for a massive health emergency. But a new OIG report indicates that many states and localities are falling well short of the mark in getting ready for a potential...
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Feds to review CMS auditing programs
Chances are audits are going to be getting even tighter in the near future. The Office of the Inspector General is about to begin reviewing Medicare and Medicaid auditing procedures. The process,...
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Medicare wants back $38M it paid to emergency departments
Oops! Medicare says it wrongly paid more then $38 million in claims for outpatient emergency department radiological services — and it wants its cash back. A new report (pdf) by the Office of the...
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Coupons for medical services?
A lot of people are familiar with daily deal sites. But now there’s a new wrinkle: Certain sites offer healthcare coupons. Providers who participate, however, need to be very careful. While healthcare...
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Payback time: OIG audits uncover overpayments at 3 hospitals
The last thing any hospital administrator wants is to be audited by the Office of the Inspector General (OIG). Especially now that the Centers for Medicare & Medicaid Services on June 1st will...
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OIG audits: Two hospitals owe Medicare $1 million
For hospitals, conforming to federal billing requirements demands 100% compliance, all the time. Two facilities learned that the hard way. A recent audit by the Office of the Inspector General, found...
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Hospital has to return $589,705 in Medicare overpayments
Medicare paid Maine Medical Center — a 637-bed, acute-care hospital in Portland, ME — $340 million for 23,690 inpatient and 127,833 outpatient claims during calendar years 2009 and 2010. Now, the...
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CMS’s response to PHI breaches examined
You know how your hospital is doing when it comes to guarding patients’ protected health information (PHI), but do you know how the Centers for Medicare & Medicaid Services (CMS) is doing? The...
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Banner year: OIG Audits and investigations net $6.9M
Sure, your hospital may be struggling financially to make ends meet in this era of providing quality care for less, but the Department of Health & Human Services (HHS) Office of Inspector General...
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OIG revises Provider Self-Disclosure Protocol in favor of hospitals, docs
If a self-audit of your hospital uncovers a healthcare fraud scheme, it’s best to voluntarily notify the feds right away. Not only does it prevent the hospital from getting into more trouble, it can...
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