Healthicity Blog

OIG’s most recent published report determined that an estimated one in five high-risk hospital ER Medicare claims

The Department of Health and Human Services has an annual portfolio of services that totals over $1.2 trillion.

Have you ever received some promotional or marketing material from a hospital you visited?

March 2019 has been a busy month for additions to the OIG’s Work Plan. They’ve added 16 new items.

In February 2019, the OIG has made multiple additions to its Workplan.  There are some significant additions, so let’s look at a few of them.

1. Genetic Testing Company Agrees to Pay $1.99 Million to Resolve Allegations of False Claims to Medicare for Medically Unnecessary Tests –

For a Medicare patient to be eligible for coverage of post-hospital extended care services, they must be an inpatient in a hospital for not less than 3 consecutive calendar days before being discharged from the hospital.

As compliance professionals, many of us are acutely aware of the published Corporate Integrity Agreements (CIA) that the OIG publishes on their website.