The Office of the Inspector General (OIG) pointed to deficiencies in CMS’ oversight of Zone Program Integrity Contractors (ZPICs), indicated that Comprehensive Error Rate Testing (CERT) program calculations could be more accurate, and pointed to unaddressed contractor-identified vulnerabilities...Read More »
A Maryland hospital allegedly added malnutrition as a secondary diagnosis, employing tactics that included the submission of leading queries to increase reimbursement, according to...Read More »
The Department of Health and Human Services (HHS) recovered nearly $4.1 billion in taxpayer dollars in Fiscal Year (FY) 2011 thanks to its increased healthcare fraud prevention and enforcement efforts, according to a recent...Read More »
The 5th Annual ACDIS Conference early registration cutoff date is next Friday, March 9. This year's conference will be held at the Manchester Grand...Read More »
Review Medicaid Integrity Contractors (MICs) completed 81% of their CMS assignments resulting in potential $282 million in possible recoveries for Jan. 1, 2010, to June 30, 2010, according to a February OIG report...Read More »
CMS’ Recovery Auditors (previously called Recovery Audit Contractors, now associated with the Recovery Audit Program [RAP]), collected nearly $400 million in overpayments from October 1 through December 31, 2011,...Read More »
