HHS Updates
Interactive Map with Medicaid Fraud Control Units’ Statistical Data for FY 2010
1Investigations are defined as the total number of open investigations at the end of the fiscal year. 2 Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections. Recoveries may [...]
Read Full Post | Make a Comment ( None so far )Review of Medicare Outpatient Billing for Selected Drugs at Central Peninsula General Hospital (A-09-11-02033)
Contrary to Federal requirements, Central Peninsula General Hospital billed Medicare for the incorrect number of units of service of doxorubicin hydrochloride liposome and paclitaxel administered. As a result, Central Peninsula received overpayments totaling $99,000. ________________________________________________________________________________________________________________________ How To Get All The Patient Referrals You Can Handle!!! As a health care provider you know that the majority [...]
Read Full Post | Make a Comment ( None so far )Monthly Recovery Act Report: August
http://oig.hhs.gov/reports-and-publications/recovery/index.asp?FileName=201108_recovery_update.asp. ___________________________________________________________________________________________ How To Get All The Patient Referrals You Can Handle!!! As a health care provider you know that the majority of your new patients come from referrals from existing patients and other physician practices. How would you like to be able to send cards like these to your patients and referrals sources automatically [...]
Read Full Post | Make a Comment ( None so far )Advisory Opinion 11-15
Advisory Opinion 11-15 (concerning a proposal under which physicians would invest in a company that would provide pathology laboratory management services to a third party.) http://oig.hhs.gov/fraud/docs/advisoryopinions/2011/AdvOpn11-15.pdf ___________________________________________________________________________________________________________________________ How To Get All The Patient Referrals You Can Handle!!! As a health care provider you know that the majority of your new patients come from referrals from [...]
Read Full Post | Make a Comment ( None so far )Fiscal Year 2012 Work Plan
The Office of Inspector General’s ( OlG ) Work Plan sets forth various projects to be addressed during the fiscal year by the Office of Audit Services, Office of Evaluation and Inspections, Office of Investigations, and Office of Counsel to the Inspector General. The Work Plan includes projects planned in each of the Department’s major [...]
Read Full Post | Make a Comment ( None so far )LHC Group Inc. Added to Corporate Integrity Agreement List
Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Settlement Agreements with Integrity Provisions http://oig.hhs.gov/compliance/corporate-integrity-agreements/cia-documents.asp ________________________________________________________________________________________________________________ How To Get All The Patient Referrals You Can Handle!!! As a health care provider you know that the majority of your new patients come from referrals from existing patients and other physician practices. How would you like [...]
Read Full Post | Make a Comment ( None so far )Unidentified and Unreported Federal Deficiencies in California’s Complaint Surveys of Nursing Homes (A-09-09-00114)
When conducting complaint surveys of nursing homes from 2006 through 2008, the California Department of Public Health, Licensing and Certification Division (the Division), did not always identify and report deficiencies for unmet Federal requirements related to those homes’ participation in the Medicare and Medicaid programs. Contrary to Federal requirements, for 24 of 47 complaint surveys [...]
Read Full Post | Make a Comment ( None so far )Review of Medicaid Hospice Payments at Evercare Hospice & Palliative Care for State Fiscal Years 2007 Through 2009 (A-01-10-00012)
The Massachusetts Executive Office of Health and Human Services, Office of Medicaid (State agency), did not always make Medicaid payments to Evercare Hospice & Palliative Care (Evercare) in accordance with Federal and State requirements. Based on our sample results, we estimated that the State agency incorrectly reimbursed Evercare $1.3 million ($669,000 Federal share) for the [...]
Read Full Post | Make a Comment ( None so far )Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2009 (A-18-10-30300)
Federal law requires that each Medicare contractor have its information security program evaluated annually by an independent entity, and these evaluations must address the eight major requirements enumerated in the Federal Information Security Management Act of 2002. To comply with this provision, the Centers for Medicare & Medicaid Services (CMS) contracted with PricewaterhouseCoopers (PwC) to [...]
Read Full Post | Make a Comment ( None so far )Review of Ryan White Part B Funding and Payer-of-Last-Resort Requirement (A-05-10-00088)
Title II (Part B) of the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 provides grants to States and territories to fund the purchase of medications through AIDS Drug Assistance Programs (ADAP) and other health care and support services. Part B grant funds may be used only for individuals determined to meet medical and [...]
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