OIG

Interactive Map with Medicaid Fraud Control Units’ Statistical Data for FY 2010

Posted on October 14, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, HHS, HHS Updates, medicaid, Medicare, OIG | Tags: , , , , , , , |

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 [...]

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Review of Medicare Outpatient Billing for Selected Drugs at Central Peninsula General Hospital (A-09-11-02033)

Posted on October 13, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, HHS, HHS Updates, medicaid, Medicare, OIG | Tags: , , , , , |

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 [...]

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Review of Medicare Outpatient Billing for a Selected Drug at Madison Memorial Hospital (A-09-11-02051)

Posted on October 13, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, HHS, medicaid, Medicare, OIG | Tags: , , , , , , , |

Contrary to Federal requirements, Madison Memorial Hospital billed Medicare for the incorrect number of units of service of infliximab administered. As a result, Madison Memorial received overpayments totaling $32,000. http://oig.hhs.gov/oas/reports/region9/91102051.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 [...]

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Monthly Recovery Act Report: August

Posted on October 13, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, HHS, HHS Updates, medicaid, Medicare, OIG | Tags: , , , , , , |

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 [...]

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Medicare Open Enrollment begins Saturday — seniors have more benefits, better choices, lower costs

Posted on October 13, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, medicaid, Medicare, OIG | Tags: , , , , , , |

Affordable Care Act gives seniors with Medicare cheaper prescription drugs, free preventive services, and lower costs With more benefits, better choices and lower costs, the Centers for Medicare & Medicaid Services (CMS) is encouraging people with Medicare and their families to begin reviewing drug and health plan coverage options for 2012. The Medicare Open Enrollment [...]

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Proposed Revision of Performance Standards for State Medicaid Fraud Control Units (PDF) published 10-06-2011

Posted on October 13, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, medicaid, Medicare, OIG | Tags: , , , , , |

http://oig.hhs.gov/authorities/docs/2011/fr_10062011.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 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 [...]

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Advisory Opinion 11-15

Posted on October 11, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, HHS, HHS Updates, medicaid, Medicare, OIG | Tags: , , , , , , |

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 [...]

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Fiscal Year 2012 Work Plan

Posted on October 6, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, HHS, HHS Updates, medicaid, Medicare, OIG | Tags: , , , , , , , , |

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 [...]

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LHC Group Inc. Added to Corporate Integrity Agreement List

Posted on October 6, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, HHS, HHS Updates, medicaid, Medicare, OIG | Tags: , , , , , , |

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 [...]

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LEIE Database Updated with September 2011 Exclusions and Reinstatements

Posted on October 6, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, medicaid, Medicare, OIG | Tags: , , , , , , |

The List of Excluded Individuals/Entities (LEIE) is available in different versions, and all are .dbf files zipped into self-extracting executable (exe) files. Save this .exe file to your computer, then extract the.dbf file into either a database program such as Microsoft access or a spreadsheet program such as Microsoft Excel. Please refer to your software’s [...]

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