Recent investigations by the Office of Inspector General (OIG) have shown a number of instances in which hospices inappropriately billed Medicare for hospice general inpatient care (GIP), according to a statement released by the OIG.Read More »
Even though Promise Hospital of Ascension, a 54-bed transitional care hospital located in Gonzales, Louisiana, closed before the Office of the Inspector General (OIG) began auditing it for fraudulent Kwashiorkor claims, the agency found errors resulting in more than $450,000 in overpayments. In...Read More »
For calendar years (CYs) 2012 and 2013, Medicare overpaid Nebraska Methodist Hospital in Omaha more than $111,000 for 19 inpatient and outpatient claims, including insufficiently documented sepsis and septic syndrome.Read More »
Back in the day (oh, about nine years or so ago), I found myself tucked into my office late into a Thursday evening skimming the tome that was the Office of the Inspector General’s annual Work Plan release. TheWork Plan is—just as its name implies—an outline or agenda of...Read More »
This isn’t the first time we’ve heard about hospitals billing for Kwashiorkor, a form of severe protein malnutrition typically found in third-world countries that is extremely rare in the United States.Read More »
$2.3 billion. That’s what the HHS Office of the Inspector General (OIG) and the Department of Justice (DOJ) earned back from healthcare fraud judgments and settlements in fiscal year 2014, according to a March 19 report.Read More »
Three university hospitals saw a doubling of Recovery Auditor (RAC) audit activity from 2010–2011 to 2012–2013, and a nearly three-fold increase in overpayment determinations, according to a new study in the Journal of Hospital Medicine.Read More »
