CJ Wolf
What do you do when you’re running an exclusion check on an employee or vendor and you receive a positive match? Does a positive match automatically mean that person can’t work for you?
Marcie Swenson
It’s been almost a year and many compliance officers are still trying to figure out how to make use of the OIG Resource Guide.
Stephani Scott
EXAMPLES OF MODIFIER 59 ERRORS
Your organization is losing money. The OIG HHS reported that nearly 42% of Medicare claims for E/M services are incorrectly coded resulting in $6.7 billion in overpayments.
CJ Wolf
According to a recent post on Justice.gov, “A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.”
Healthicity
1. Mental Health Center to Pay $4 Million under AG Settlement for Illegally Billing MassHealth for Unlicensed Patient Care –
CJ Wolf
A little over a month ago, I blogged about the OIG guidance regarding compliance requirements and risks associated with grants.
Healthicity
1. Roseville Dermatologist Accused Of Billing Patients For Procedures Never Performed –
CJ Wolf
For years, the OIG has been performing Hospital Compliance Reviews that are essentially data-driven billing analyses of inpatient and outpatient reimbursement.
