DHS -OIG – Page 4 – medicarereport.org

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OIG: Medicare overpaid up to $888M for genetic tests

(By Rylee Wilson for Becker’s Hospital Review ) Medicare could have overpaid hundreds of millions for genetic testing from 2018

Eileen Cook June 26, 2023June 26, 2023 DHS -Office of Inspector General, Genetic testing, medicare, Medicare overpayments

DHS -OIG Health Care Finance Medicare Advantage

6 Medicare Advantage plans audited for upcoding in the last six months

(By Rylee Wilson for Becker’s Hospital Review ) Audits published in the last six months found almost $32 million in

Eileen Cook June 9, 2023June 9, 2023 DHS -Office of Inspector General, Healthcare Finance, Medicare Advantage, Medicare Advantage Overpayments, Upcoding

CMS DHS -OIG Medicare - General Mental Health/Behavioral Health Pandemic Telehealth

Medicare improperly paid for $580M in psychotherapy services, OIG audit finds

(By Rylee Wilson for Becker’s Hospital Review ) Medicare improperly paid for over half a billion dollars in psychotherapy services,

Eileen Cook May 8, 2023May 8, 2023 CMS, COVID-19, DHS -Office of Inspector General, Improper Payments, medicare, Telehealth

DHS -OIG Health Care Finance Medicare - General Veterans Benefits

OIG: Duplicate Medicare, VA payments cost Medicare $128M

(By Rylee Wilson for Becker’s Hospital Review ) Medicare could have saved $128 million in duplicate claims payments with a

Eileen Cook April 28, 2023April 28, 2023 CMS, Healthcare Finance, HHS Inspector General’s Office Audit, medicare, Veterans

DHS -OIG Medicare Advantage

OIG: Cigna received $6.2M in Medicare Advantage overpayments

(By Rylee Wilson for Becker’s Hospital Review ) Cigna-HealthSpring Life & Health Insurance Company received an estimated $6.24 million in

Eileen Cook March 31, 2023 DHS -Office of Inspector General, Medicare Advantage, Medicare Advantage Overpayments

DHS -OIG Health Care Finance Legislative Update Medicaid Medicare - General

Congressman Seeks to Plug ‘Shocking Loophole’ Exposed by KHN Investigation

(By Sarah Jane Tribble for Kaiser Health News) A U.S. lawmaker is taking action after a KHN investigation exposed weaknesses

Eileen Cook March 28, 2023March 28, 2023 Medicaid, Medicaid fraud, medicare, Medicare Fraud

DHS -OIG Illegal Activities Medicare Fraud; Illegal Activities

Medicare Advantage plans face significant risks of fraud, OIG says

(By Rylee Wilson for Becker’s Hospital Review ) Medicare Advantage plans should be aware of fraudsters turning their efforts to

Eileen Cook March 21, 2023 DHS-OIG, Medicare Advantage, Medicare Fraud

CMS DHS -OIG Medicare - General Part D/Prescription Drugs

CMS needs to improve oversight of Medicare Part B drug payment calculations, OIG report finds

(By Jakob Emerson for Becker’s Hospital Review ) CMS needs better strategies to ensure proper oversight of Medicare Part B

Eileen Cook January 5, 2023January 5, 2023 CMS, DHS -Office of Inspector General, medicare, Medicare Part B Drug payment calculations, Oversight

DHS -OIG Health Care Finance Medicare Advantage

Cigna received $5.9M in Medicare Advantage overpayments, OIG says

(By Rylee Wilson for Becker’s Hospital Review ) Medicare Advantage plan Cigna HealthSpring of Tennessee received $5.9 million in overpayments

Eileen Cook January 4, 2023January 4, 2023 HHS Inspector General’s Office Audit, Medicare Advantage, Medicare overpayments

CMS DHS -OIG Illegal Activities Medicare Advantage Medicare Fraud; Illegal Activities

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

(By Fred Schulte and Holly K. Hacker for NPR) In April 2016, government auditors asked a Blue Cross Medicare Advantage

Eileen Cook December 12, 2022December 12, 2022 CMS, DHS-OIG, GAO, Medicare Advantage, Medicare Fraud