Home Health & Hospice Week
OIG Focuses On Missing Home Health OASIS Data
Watchdog agency calls for prepay claims check.
You’d better make sure you’re submitting OASIS data to back up your claims, because the OIG is like a dog with a bone on the issue.
In its new Semiannual Report to Congress, the HHS Office of Inspector General tells lawmakers about an estimated $25 million overpayment due to missing OASIS data. The OIG highlighted the problem in a report it released in March (see Eli’s HCW, Vol. XXIII, No. 13). “Overpayments occurred because HHAs often had inadequate controls for the submission of OASIS data,” the OIG says in the new semiannual report.
“CMS should complete a process that would allow the claims processing system to interface with State survey agency systems to identify, on a prepayment basis, HHA claims without accepted OASIS data submission,” the OIG urges.
See the report at http://oig.hhs.gov/reports-and-publications/archives/semiannual/2014/SAR-S14-Web-Final.pdf.
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