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Posts tagged with "improper payments"

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OIG Finds Improper Medicare Emergency Billing

On Tuesday, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) released the results of a report that found improper coding in emergency department procedure codes led to $15 million in improper or potentially improper payments. The report covered emergency department codes for services provided in 2021...
National News

Medicare's Improper Payment Rate Falls to Lowest Since 2010

For the first time in eight years, the 2018 Medicare fee-for-service improper payment rate has seen a decline of over $4.5 billion and a drop in home health improper payments is a big contributor to the lower rate. The rate was at 9.51 percent in 2017 and is now at 8.12 percent. This is the lowest the improper payment rate has...
Arizona News

An OIG's Audit Reveals $5.7 Billion in Improper Payments to Inpatient Rehabs

The Office of the Inspector General (OIG) recently discovered $5.7 billion in unreasonable and unnecessary payments to inpatient rehabilitation facilities (IRFs) after a sample audit. The review was prompted by Medicare spending of about $7 billion on IRF stays in 2013, leading the OIG to question the payment system.  The OIG sampled...
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