Home Health & Hospice Week
Industry Note:
OIG Asks For More Fraud-Fighting Funds
Published on Fri Apr 26, 2013
If it feels like the OIG uses more re-sources to go after inappropriately billed and paid Medicare claims every year, that’s because it’s true. After raking in record recoupments in 2012, the OIG wants to step up its efforts even further, requesting $320 million in FY 2014 for overseeing Medicare and Medicaid — this represents over $82 million more than the 2012 amount.
The OIG intends to use the extra dollars for fraud prevention as well as "identifying questionable billings and reducing improper payments" in the Medicare and Medicaid programs, it says in its budget request for next year.
Other Articles in this issue of
Home Health & Hospice Week
- Hospice:
Hospice Payment Reform Is Knocking On Your Door
Prepare now for variable rates under the Medicare hospice benefit. All that visit data you’ve [...] - Know Your Facts:
Skyrocketing Hospice Statistics Contribute To Payment Shift Motivation
Average LOS increased 50 percent from 2000 to 2007. Here are the statistics that law- [...] - Payment:
Hospice Payment Change Will Create Winners, Losers
Profit margins to drop for hospices with long-staypatients in U-shaped model, MedPAC expects. Like any [...] - Diagnosis Coding:
Hospice Payment Changes Won't Stop With Variable Rates
Other elements on the horizon: case mix, site of service considerations. Law- and policymakers are [...] - Reimbursement:
MAC Cuts Off RAP Payments For HHAs With Too Many Cancels
Expect this cash-flow draining tactic to spread across the country. If you’re letting too many [...] - Industry Note:
CMS Delays PECOS Edits
Plus: Use RAP non-payment as early warning of PECOS edit problem. Home health agencies now have [...] - Industry Note:
Self-Disclosure Heads Off CIA Under New Policy
If you discover improprieties that you must self-disclose to the HHS Office of Inspector General, [...] - Industry Note:
Beware This Claims Payment Snafu For Low-Visit Claims
A system glitch is resulting in remittance advice errors for LUPA claims. "For Low Utilization [...] - Industry Note:
Incorrect Hospice PEPPER Reports Go Out -- Again
Don’t base any big initiatives on your hospice PEPPER report data quite yet. About half [...] - Industry Note:
CMS Administrator Finally Up For Confirmation
Congress is one step closer to confirming Centers for Medicare & Medicaid Services Act-ing Administrator [...] - Industry Note:
OIG Asks For More Fraud-Fighting Funds
If it feels like the OIG uses more re-sources to go after inappropriately billed and [...] - Industry Note:
Ohio Agency Owes $700K After Audit
If it’s not documented, it’s not done. That maxim proved true once again in an [...] - Industry Note:
HHA Office Manager Convicted In Fraud Scheme
A federal jury in Detroit has convicted the office manager of a home health agency [...] - Industry Note:
Provider Lays Off Staff In Face Of Sequestration
Sequestration cuts, on top of other financial and regulatory burdens, continue to take a toll [...]
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