OIG Issues New Compliance Guidance for Governing Bodies.
The Department of Health and Human Services Office of Inspector General (OIG) recently released a new compliance guidance that provides…
CMS Issues Medicare SNF PPS Proposed Rule for Fiscal Year 2016.
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating the Skilled Nursing Facility (SNF) Prospective…
CMS Releases Proposed Rule on Meaningful Use Stage 3.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule for Stage 3 of the Medicare and…
CMS Commences Round 2 Settlement Process for Inpatient Claims.
The Centers for Medicare & Medicaid Services (CMS) recently announced Round 2 of the settlement process for denied inpatient claims.…
HHS and DOJ Release FY 2014 Health Care Fraud and Abuse Control Program Report.
The Department of Health and Human Services (HHS) and the Department of Justice (DOJ) recently released the fiscal year (FY)…
OIG Report Reports On 2015 Unimplemented OIG Recommendation
The HHS OIG released the March 2015 Edition of the Compendium of Unimplemented Recommendations. The publication outlines the OIG’s fiscal year…
CMS Proposes MA and Drug Plan Payment and Policy Updates.
The Centers for Medicare & Medicaid Services (CMS) recently issued an Advance Rate Notice and draft Call Letter proposing policy…
CMS Releases New Version of Draft Clinical Template for Home Health Face-to-Face Encounters.
The Centers for Medicare & Medicaid Services (CMS) released version 4.1 of the draft clinical template for physician documentation of…
CMS Issues Notice Extending Publication Deadline for Overpayment Reporting Final Rule.
The Centers for Medicare & Medicaid services (CMS) extended the deadline for the publication of the ‘‘Medicare Program; Reporting and…
Owners of a Mental Health Clinic Sentenced for $97 Million Medicare Fraud Scheme.
Two physician owners of Spectrum Care, P.A. (Spectrum), a community mental health clinic received a prison sentence of 148 months…
CMS Announces Updates to the Recovery Audit Program.
On December 30, 2014, the Centers for Medicare & Medicaid Services (CMS) announced new Recovery Audit contracts and updates to…
IRS and Treasury Department Issue Final Rule on Requirements for Charitable Hospitals.
The Internal Revenue Service (IRS) and U.S. Department of the Treasury issued a final rule under Section 501(r) of the…