Report: More than 25% of potential abuse incidents in SNFs go unreported to police
By
Aug 29, 2017
More than a quarter of incidents of possible abuse or neglect against nursing home residents go unreported to authorities despite mandatory reporting laws, according to a new federal report.
Alleged overpayments to inpatient rehab facilities spark CMS review
Jul 12, 2010
Inpatient rehab facilities received an estimated $34 million in overpayments from Medicare between 2004 and 2007, according to a report from the Office of Inspector General. This has prompted a review...
Behavior problems — not financial motivation — most often precede forced SNF discharges: OIG
By
Kimberly Marselas
Apr 04, 2024
Nursing homes most often initiated a discharge because a resident’s behavior endangered the resident or others in the facility, a rationale fully within their rights, a government watchdog reported Wednesday.
New OIG litigation team will tackle Medicare, Medicaid fraud cases
By
Jul 02, 2015
The U.S. Department of Health and Human Services Office of Inspector General has created a new team of attorneys focused solely on litigation involving Medicare and Medicaid fraud.
OIG revenues off $1 billion as oversight relaxes
By
John Hall
May 28, 2014
Revenues from Department of Health and Human Services Office of Inspector General audits and investigations for the the first half of fiscal 2014 are expected to drop almost $1 billion from the same period...
CMS may seek $225 million in uncollected Medicaid overpayments
By
McKnight's Staff
Feb 25, 2013
The Centers for Medicare & Medicaid Services should press states to repay about $225 million in Medicaid overpayments accrued over a 10-year period, according to a recent report from the Department of...
Report: OIG to tackle adverse events, therapy payments in nursing homes
By
Apr 14, 2016
Federal regulators’ investigative arm has set its sight on adverse events in nursing homes, and how Medicare pays for skilled nursing therapy, according to a report released Tuesday.
OIG plans civil monetary penalties crackdown
Oct 27, 2015
The government will continue ramped-up efforts against healthcare fraud cases that involve program exclusions and civil monetary penalties, officials shared on Monday.
OIG changes its mind on referral services discounts
By
Elizabeth Newman
Apr 09, 2014
Providers cannot use an online service that involves money for referrals within its network, federal regulars now say, reversing course on an advisory opinion issued three years ago. The edict came from...
Providers demand fixes after feds find MA plans wrongly delay or deny SNF services too often
By
Danielle Brown
May 02, 2022
Skilled nursing providers are demanding changes after a new federal report found that Medicare Advantage organizations (MAOs) have improperly denied or delayed services to beneficiaries to increase profits.