CMS changes successfully reduced outpatient overpayments, OIG audit finds
(By Rylee Wilson for Becker’s Hospital Review) Oversight changes CMS made in its system to identify patients in inpatient services
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OIG: Better oversight needed for Medicaid beneficiaries enrolled in two states
(By Rylee Wilson for Becker’s Hospital Review) The HHS Office of Inspector General found states frequently pay capitation benefits for
Read moreAdverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018
(Source – oig.hhs.gov) In 2010, OIG reported the first national incidence rate of patient harm events in hospitals-27 percent of
Read moreMedicare Advantage Organization denials of prior authorization requests raise concerns
(By Andrew Cass for Becker’s Hospital Review) A report from the HHS Office of the Inspector General released April 27
Read more6 drugmakers referred to HHS inspector general for denying 340B discounts
(By Maia Anderson for Becker’s Hospital Review) The HHS Health Resources & Services Administration sent letters to six drugmakers Sept.
Read moreHumana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
(By Fred Schulte for Kaiser Health News) A Humana Inc. health plan for seniors in Florida improperly collected nearly $200
Read moreHospital stays getting more expensive for Medicare
According to a new report from the Department of Health and Human Services’ Office of Inspector General (OIG), it found
Read moreOIG oversight saved taxpayers $4B in 2020
(By Katie Adams for Becker’s Hospital Review) The HHS Office of Inspector General expects to generate more than $4 billion in
Read moreMedicare overpaid hospitals for defunct heart devices, inspector general says
(By Morgan Haefner for Becker’s Hospital Review) Medicare has been overpaying hospitals for recalled or faulty heart devices, according to
Read moreCoding errors led to overpayments to Medicare Advantage plans
Incorrect diagnosis codes from providers led to a $14 million windfall for some Medicare Advantage plans according to a recent
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