Discover the latest updates from the OIG's April 2024 Work Plan, featuring crucial audits and reviews in Medicaid payments, pharmacy benefit management, and peripheral vascular procedures.
The OIG added several important updates to its Work Plan in April – let's dive in!
These updates are crucial for professionals in the healthcare and regulatory sectors, offering insights into critical areas of oversight and compliance.
- Nursing Homes and Medicaid Payments: The OIG has reviewed the Medicaid nursing facility upper payment limit (UPL) supplemental payment programs approved by CMS across various states—and the OIG is ready to take a closer look.
- Medications and Pharmacy Benefit Managers: Building on last month's work plan on Vertical Integration in Medicare Part D, the OIG is now initiating audits to investigate the impact of vertically integrated relationships on drug pricing.
- Peripheral Vascular Procedures: With over $600 million paid by Medicare in 2022 for specific vascular procedures, the OIG is stepping up to examine trends in Medicare fee-for-service payments.
We hope you find this resource helpful!