OIG issues new guidance for nursing homes on hiring people excluded from Medicare and Medicaid
By
McKnight's Staff
May 08, 2013
Nursing homes can now refer to newly updated government guidelines on hiring or contracting with people excluded from participating in federal health programs.
OIG finds ‘observation stay’ problems, calls for reform
By
James M. Berklan
Sep 01, 2013
Long-term care groups are among those hailing a federal study that raises critical questions about hospitals’ apparent over-use of “observation stay” designations for patients.
Better Medicaid managed care oversight needed to protect providers serving high-risk populations: OIG
By
Tim Mullaney
Nov 14, 2013
States are not doing a good job of monitoring how Medicaid managed care enterprises handle providers serving high-risk populations, according to a new government report. Five of six states evaluated in...
CMS must refine data on antipsychotic drug use in nursing homes, OIG says
By
Alicia Lasek
May 07, 2021
The Minimum Data Set should not be CMS’ sole source for determining the number of nursing home residents using antipsychotic drugs, according to a new report from HHS’ Office of the Inspector General.
OIG: Stop allowing chiropractors to order any services
By
Elizabeth Newman
Jul 11, 2018
There is no need to set a policy to deny all claims for items and services from chiropractors since the bulk of incorrect payments are already blocked, the Centers for Medicare & Medicaid Services said...
Ask the legal expert … about contracted state surveyors
By
Norris Cunningham
Mar 04, 2024
I read that the Office of Inspector General is going to audit CMS oversight of states’ use of contractors to conduct nursing home surveys. Why is this needed?
SNF therapy billing controversy rises from the dead
By
Elizabeth Newman
Oct 02, 2015
Despite my love of Halloween, there is one component of it that is distinctly not for me: Horror movies. Still, I’m enough of a pop culture enthusiast that I can appreciate those with an appetite...
Poorly coded doctor claims cost Medicare $33 million: OIG report
By
John Hall
May 11, 2015
The Health & Human Services’ Inspector General is advising the agency to have its Medicare contractors chase down more than $33 million that might have been overpaid to physicians as a result of...
OIG to audit CMS oversight of state-contracted nursing home surveyors
By
Josh Henreckson
Jan 23, 2024
A top federal watchdog will audit the Centers for Medicare & Medicaid Services’ nursing home survey practices in 2024, according to a new report.
Medicare paid millions in ‘questionable’ diabetes test strip claims related to SNF, hospital...
By
Tim Mullaney
Aug 29, 2013
Medicare is making questionable payments for diabetes test strips used by residents of skilled nursing facilities, according to a report from the Department of Health and Human Services Office of Inspector...