Online resource packed with regulatory news and expert guidance, tips & tools pertinent to professionals across the post-acute care continuum.
The Department of Health and Human Services Office of Inspector is reviewing telehealth use during the pandemic with an eye on building the blueprint for “telehealth 2.0,” according to Principal Deputy Inspector General Christi Grimm. The OIG recently shared comments Grimm made to the American Health Law Association’s annual meeting June 29, and telehealth was […]
After it self-disclosed conduct, an Alabama-based hospice provider agreed to pay $500,000 for allegedly violating the Civil Monetary Penalties Law, according to a release from the Department of Health and Human Services Office of Inspector General (OIG). OIG alleged that the hospice submitted claims to Medicare for hospice services that lacked recertifications of terminal illness, […]
The Department of Health and Human Services Office of Inspector General (OIG) has suggested a hospice provider in Fairfield, Calif., repay $3.3 million to Medicare after its latest audit. The report, released earlier this month, alleged 21 of the 100 sampled claims over a two-year period did not support the associated beneficiary’s terminal prognosis. “Specifically, […]
The Department of Health and Human Services Office of Inspector General is reminding providers of the rules around administering the COVID-19 vaccine after complaints from patients charged for the vaccine and other reports of fraud and abuse around vaccine distribution. OIG is reminding all participating providers that they: must administer COVID-19 Vaccine with no out-of-pocket […]
The U.S. Department of Health and Human Services Office of Inspector General (OIG) recently announced the results of an audit of Brookdale Home Health. The report came a familiar focus on ambulation, homebound and medical necessity. But there was another important note in the report that puts a fresh emphasis on case mix. The review […]
The U.S. Department of Health and Human Services Principal Deputy Inspector General Christi A. Grimm recently released a message regarding telehealth. “Where telehealth and other remote access technologies were once a matter of convenience, the public health emergency made them a matter of safety for many beneficiaries,” says Grimm. A year later, there is strong […]
The OIG announced plans to investigate whether nursing homes are following proper protocol when discharging and evicting residents. The OIG found that discharges and evictions were the most common compliant submitted to the Long-Term Care Ombudsman Program from 2011 to 2016. “Discharges which violate federal regulations are of great concern because in some cases they […]
Stefanie Corbett, owner of Corbett Healthcare Solutions, joins us today to talk about OIG recommendations to CMS, and what SNFs need to keep an eye out for. Listen on Soundcloud Listen on Apple Podcasts
A recent OIG report suggests that the MACs could be recouping money they believe was incorrectly paid for home health episodes that ended with five to seven visits, slightly above the LUPA thresholds in PPS. And they could be enforcing stricter oversight of periods just above new LUPA thresholds in PDGM. Twenty out of 25 […]
The OIG announced a focused effort to investigate nursing home responses to COVID-19. One facet of the investigation will focus on auditing infection control efforts at nursing homes, while another will focus on CMS oversight efforts during the pandemic. “To reduce the likelihood of contracting and spreading COVID-19 at these nursing homes, effective internal controls […]