Alleged $250 million overbilling charges in hospices disputed , experts say
By
Elizabeth Newman
Apr 07, 2016
A recent HHS Office of Inspector General report calling out hospices for billing $250 million inappropriately in 2012 doesn’t tell the whole story, an attorney said this week.
Medicaid termination doesn’t always cross state lines: OIG
By
Elizabeth Newman
Sep 04, 2015
Twelve percent of providers terminated from a state Medicaid program continued participating in other states, a new government study has found.
OIG says critical access swing beds should be paid at SNF rates
By
John Hall
Mar 11, 2015
New legislation should be introduced to significantly change the way rural-based hospitals are reimbursed for care provided in post-acute care swing beds, the Department of Health and Human Services’...
Government agency calls on CMS to monitor 5% rule for hospitals within hospitals
By
Haymarket Media
Aug 18, 2004
The Department of Health and Human Services’ Office of Inspector General found that 19 of 87 hospitals-within-hospitals (22%) exceeded the annual 5% threshold for readmissions from their host hospitals...
OIG writing compliance guidebook to assist nursing home sector, hints at focus areas
By
Josh Henreckson
Apr 19, 2024
The federal government’s top watchdog is working on sector-specific guides to assist nursing homes in keeping in compliance with federal regulations. Particular attention will be given to some challenging...
OIG to study contractors
By
James M. Berklan
Nov 01, 2012
A new federal work plan declares that even the Medicare contractors charged with keeping close tabs on long-term care facilities will be put under the microscope during fiscal 2013.
Federal investigators find nursing home alternative a prime target for fraud, abuse
By
McKnight's Staff
Nov 19, 2012
Medicaid personal care services are ripe for abuse, according to a new report from the Department of Health and Human Services’ Office of Inspector General.
Medicaid pays too much for prescription drugs, OIG testifies
By
Haymarket Media
Dec 10, 2004
States can expect to take a closer look at the cost of prescription drugs after the Office of Inspector General said this week that Medicaid continues to overpay pharmacies for the drugs.
What the OIG video leaves out
By
Elizabeth Newman
Jun 09, 2017
One might be forgiven for watching an Office of Inspector General video discussing nursing homes and wish it were about 10 — or 20 — minutes longer. That’s because the video is under three minutes...
OIG finds homes using broad tactics to improve operations
By
Haymarket Media
Mar 22, 2005
Offering activities that increase staffing levels and involving residents’ families are tactics that have helped nursing homes create better environments for their residents, according to the findings...