Nursing home oversight makes OIG’s top challenges list for second straight year
By
Tim Mullaney
Nov 19, 2014
Ensuring nursing home quality remains one of the top 10 challenges facing the Department of Health and Human Services. That’s according to a newly issued list from HHS’ Office of Inspector...
OIG finds red flags in Medicaid cost report
By
Haymarket Media
Feb 25, 2004
A federal agency has determined that a New Mexico facility overcharged Medicaid more than $518,000. The Department of Health and Human Services Office of Inspector General said it found red flags in Albuquerque...
Therapy overpayments may surpass $700 million a year, OIG suggests
By
Kimberly Marselas
Mar 27, 2018
A federal review of outpatient physical therapy payments found Medicare likely overpaid $367 million during a six-month period.
Improper coding for doctors’ evaluation and management visits costs Medicare billions, OIG report
By
John Hall
May 30, 2014
Documentation coding errors related to routine patient evaluation and management (E/M) visits are costing the Medicare program billions of dollars in improper payments a year — nearly $7 billion alone...
Many nursing homes are not meeting federal standards for antipsychotic use, OIG review finds
By
McKnight's Staff
Jul 10, 2012
Many nursing facilities are not compliant with federal regulations governing residents who take atypical antipsychotic medications, a federal review released Monday reveals.
CMS needs to improve oversight of Medicare contractors’ error rate reduction plans, report says
By
Tim Mullaney
Jan 21, 2014
Too many Medicare providers are receiving improper payments, and the Centers for Medicare & Medicaid Services should clamp down by doing a better job overseeing its contractors’ error rate reduction...
CMS improperly paid $84M for skilled nursing services, government watchdog says
By
Marty Stempniak
Feb 21, 2019
The federal government likely overpaid about $84 million for improper skilled nursing services during a two-year period, according to a new report from the HHS Office of the Inspector General.
OIG: Medicare contractors, antipsychotics in SNFs to get a closer look
By
McKnight's Staff
Oct 04, 2012
The Medicare contractors keeping close tabs on long-term care facilities will be subject to oversight too, according to a federal working plan released this week.
Lack of documentation accounts for Medicare fee-for-service error rate
Feb 21, 2012
Medicare’s fee-for-service error rate for fiscal 2010 would have fallen if compliance contractors had successfully obtained better claims documentation, a federal report found.
92% of nursing homes have hired a convicted criminal, OIG report finds
Mar 04, 2011
Nine out of 10 nursing homes in America have at least one convicted criminal on staff, according to a new report from the Department of Health and Human Services Office of Inspector General. The OIG recommends...