Stricter audits may be on the horizon from the OIG
By
Norris Cunningham
Kennedy Bunch
Devin Zimmerman
Jan 11, 2023
Long-term care facilities and providers should brace themselves for what may be an uptick in enforcement activity from Medicaid Fraud Control Units (MFCUs) in the coming year. In 2023, the U.S. Department...
OIG signals new focus on nursing homes
By
Neville M. Bilimoria
Feb 17, 2023
The federal Office of Inspector General recently published its “OIG’s Top Unimplemented Recommendations: Solutions To Reduce Fraud, Waste, and Abuse in HHS Programs.” In the 94-page document,...
OIG to tackle skilled nursing payments, avoidable hospitalizations in FY 2016
By
Jun 08, 2016
The Department of Health and Human Services Office of Inspector General will dig into Medicare requirements for skilled nursing care coverage during the remainder of fiscal year 2016, according to a new...
States fail to report troubled Medicaid providers to OIG, report finds
Aug 14, 2008
States are not reporting those Medicaid providers that have been suspended or excluded from their state programs, according to a new report from the Department of Health and Human Services Office of Inspector...
OIG touts nursing home crackdowns to Congress
By
Dec 01, 2017
A federal agency’s “early alert” on cases of potential abuse in nursing homes was spotlighted in its semiannual report to Congress on Thursday. The alert came from the Department of Health...
Also in the News for Tuesday, April 16
By
Kimberly Marselas
Apr 16, 2024
OIG to study Medicaid supplemental payments for nursing homes … Pilot program leads to 42% reduction in resident falls … State offers nursing homes $7M to expand use of telehealth, tech innovations...
CMS shouldn’t rely on accreditation surveys for hospice quality, report says
By
Jun 30, 2015
Accreditation surveys are not a guarantee that hospice providers are meeting federal or state requirements, according to a new report from the Office of the Inspector General.
Reporting neglected, OIG says
By
John O'Connor
Oct 01, 2014
Slightly more than half of the nation’s nursing facilities reported abuse or neglect allegations as required in 2012, a new report from the Office of Inspector General alleges. Such relatively low...
OIG: Tougher 2016 probes
By
John Hall
Dec 04, 2015
Providers should expect more aggressive federal efforts to investigate healthcare fraud cases as the Department of Health & Human Services makes use of sophisticated data analytics in the coming year.
OIG: Nonprofits’ complimentary transportation for families not a violation
Mar 31, 2009
The Office of Inspector General recently determined that a nonprofit skilled nursing facility that provides complimentary local transportation for friends and family of residents would not constitute grounds...