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Deeper Than the Headlines: The Results of a Skilled Nursing Facility Audit

Posted by CJ Wolf, Nov 25, 2019 10:21:31 AM

The OIG’s most recent audit of an Arkansas Skilled Nursing Facility (SNF) resulted from claim data-mining it had previously conducted.

Compliance News Roundup: $150 Million in Fraud Schemes Uncovered in Southern California

Posted by Healthicity, Nov 20, 2019 10:01:58 AM

1. $178,000 Fine for Billing of “P-Stim” Devices -

Deeper Than the Headlines: Overpayments Identified by the OIG for Chronic Care Management Services

Posted by CJ Wolf, Nov 18, 2019 11:14:48 AM

On January 1, 2015 CMS established a policy for Medicare for chronic care management (CCM) services to be paid under the Medicare Physician Fee Schedule.

Compliance News Roundup: Another $26 Million Found in Healthcare Fraud Busts

Posted by Healthicity, Nov 13, 2019 11:15:24 AM

1. NJ Doctor Pleads Guilty to $13 Million Telemedicine Fraud Conspiracy -

Deeper Than the Headlines: Post-Acute-Care Transfers Led to Millions in Inappropriate Payments

Posted by CJ Wolf, Nov 11, 2019 10:52:59 AM

The OIG’s most recent audit work and the accompanying report outlines how hospitals have been incorrectly reimbursed

Compliance News Roundup: 30 Defendants Charged in Patient-for-Cash Kickback Scheme in S.F.

Posted by Healthicity, Nov 6, 2019 10:02:02 AM

1. Texas Doctor Pays $2 Million to Resolve False Claims Allegations -

Deeper Than the Headlines: Nursing Home Health and Safety Complaints

Posted by CJ Wolf, Nov 4, 2019 11:43:10 AM

The OIG recently released some data as it relates to trends in nursing home complaints.

How to Boost Your Financial Health with a Custom Inpatient Audit Program

Posted by Stephani Scott, Oct 29, 2019 10:22:07 AM

It’s no secret to those of us in coding and auditing that there seems to be never-ending changes in payer reimbursement