OIG

OIG: MA companies used chart reviews, health risk assessments to boost CMS payments

Overall, MA companies generated an estimated $9.2 billion in risk-adjusted payments for diagnoses listed only on chart reviews and health risk assessments, with the top 20 companies receiving more than half of the payments. OIG is urging CMS to provide more oversight.

Rural Access to Home Health Services, PACE Among Lawmakers’ Future Spending Priorities

U.S. lawmakers have repeatedly highlighted a need to rethink the nation’s long-term care landscape in recent months, partly in response to the COVID-19 pandemic but also because of the country’s rapidly changing demographics. A recently published budget report from the House Appropriations Committee obtained by Home Health Care News offers further insight into that call …

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What providers need to know about OIG’s plans to audit telehealth services

The Office of the Inspector General will audit Medicare Part B telehealth services to detect potential vulnerabilities and ensure compliance with regulatory requirements. To prepare, providers must first take stock of their programs and conduct audits of their own, experts say.

OIG: CMS Could Have Saved $192M with Stronger LUPA Oversight

Federal watchdogs are once again setting their sights on perceived improper billing practices by home health agencies. In an audit report published last week, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) found that stronger oversight of Low Utilization Payment Adjustments (LUPAs) in home health care could have saved …

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