The Office of the Inspector General (OIG) recently concluded an audit aimed at determining whether significant cost savings could be realized for the Medicare program in post-acute care (PAC) discharge policy, according to a press...Read More »
A recent audit conducted by the Office of the Inspector General (OIG) has found that four states—Texas, Florida, Minnesota, and New York—terminated Medicaid coverage for thousands of enrollees during the COVID-19 pandemic.
The audit was conducted to review the increase in funding these...Read More »
In 2019 and 2020, Medicare overpaid $22.5 million for physician services while beneficiaries were hospital inpatients or at skilled nursing facilities, an Officer of Inspector General (OIG) audit found. This was calculated by...Read More »
By Suhas Nair, Director of Product Management, AGS Health
Value-based care requires accurate and concise clinical documentation. Due to their measurable impacts on patient care and the revenue cycle, CDI programs and solutions serve as the foundation for value-based strategies....Read More »
Requiring Medicare Advantage (MA) organizations (MAO) to definitively identify payment denials on encounter records submitted for MA would enhance program oversight and help combat fraud, according to a new report submitted by the Office of Inspector General (OIG). Although most 2019 MA...Read More »
