The Centers for Medicare and Medicaid Services fined nursing homes across the country a total of $15 million during the COVID-19 pandemic for noncompliance with reporting data to the agency or not following infection control guidelines.
The agency made the announcement on August 14, and in a press release stated that the penalties...Arizona News
Nursing homes this week experienced a surge of miscommunication during a spike in newly reported cases of COVID-19. Nationally and locally, organizations are trying to grapple with an influx of new information and the ramifications of an old and neglected system.
In the most recent weekly update of CMS data, more nursing homes...
A report from the Department of Health and Human Services (HHS) inspector general's office analyzed Medicare Advantage (MA) encounter data from 2016, stemming from concerns that MA organizations use chart reviews to inaccurately inflate risk adjusted payments. The result was billions in additional payments.
The Office of Inspector...
According to the HHS Office of the Inspector General, the hospital overstated its wages and wage-related costs by $12.3 million - an error that could have resulted in more than $11 in overpayments to Arizona hospitals.
The 595-bed nonprofit hospital in midtown Phoenix is part of the CommonSpirit (formerly Dignity Health)...Arizona News
The Centers for Medicare and Medicaid Services (CMS) still has $1.6 billion to collect in Medicaid overpayments, news revealed through Office of Inspector General (OIG) audits. A new December OIG report explains that CMS's timely recovery of overpayments helps to confirm that federal funds are being used effectively and...National News
The Office of the Inspector General's opined that when a Medicaid insurer provides financial incentives to network providers for increasing the number of Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, such incentives would not violate the Anti-Kickback Statute.
In the proposed arrangement, network providers...Arizona News
The Department of Veterans Affairs Office of Inspector General (OIG) released an audit on Thursday, Sept. 6 revealing over $101 million in overpayments during a one-year period to two contracted third party administrators under the Veterans Choice Program: Health Net Federal Services and TriWest Healthcare Alliance Corporation.
An...National News
A federal report conducted by the Office of the Inspector General (OIG) on Tuesday revealed how some hospices take advantage of Medicare payments and in some cases, are negligent of patients.
Hospice services can play an essential role in ensuring the comfort of terminally ill patients. It is a popular Medicare benefit and...
