Feds: Without more funds, we are cutting provider oversight
By
James M. Berklan
Jun 01, 2014
Nursing providers could feel reduced heat from federal Medicare and Medicaid oversight activities — if an agency official’s testimony is to be believed as more than just budget-request bluster.
OIG calls for crackdown
By
James M. Berklan
Nov 05, 2015
The government has renewed criticism of provider billing methods for therapy and says it will be re-evaluating the entire process.
Home health agencies fail to report more than 50% of falls leading to major injuries, OIG finds
By
Adam Healy
Sep 08, 2023
Home health agencies neglected to report 55% of falls leading to major injuries and hospitalizations on their (OASIS) assessments, according to a new government report.
OIG report addresses concerns over Medicare billing for ventilators
By
Sep 26, 2016
The growing number of Medicare claims submitted for ventilators is likely being driven by three suppliers, the Department of Health and Humans Services’ Office of Inspector General said in a data...
Terminated providers seek refuge across state lines: OIG
By
Holly Petrovich
Aug 06, 2015
About 12% of providers terminated from one state Medicaid program continued participating in other states’ Medicaid programs, according to a report from the Office of Inspector General.
A government watchdog is urging the Centers for Medicare & Medicaid Services to keep a more watchful eye on facility-initiated discharges after finding nursing homes rarely complied with federal requirements...
Potentially inappropriate nursing home payments spur increased Medicare Part A, Part D oversight
Jun 08, 2009
Tens of millions of dollars were likely inappropriately paid to skilled nursing facilities through the Medicare Part D prescription drug program in 2006, according to a recently released report from the...
OIG to investigate long-term care cost reports
By
Haymarket Media
Oct 03, 2007
Nursing home operators and their use of government dollars will come under closer scrutiny, according to details in the new Office of Inspector General’s 2008 work plan.
CMS missing opportunities to enforce staffing rules, watchdog warns
By
Danielle Brown
Mar 12, 2021
A watchdog agency is calling for a greater emphasis on staffing ratios during future nursing home surveys, saying the Centers for Medicare & Medicaid Services is missing opportunities to use information...