FY 2011 Update from the CMS Annual Update: CMS is adding 4 new measures for the FY 2011 program, and retiring one existing measure. For some of these new measures, the hospitals will not have to affirmatively report data to CMS. Instead, CMS will calculate the measures using Medicare claims data. The total number of […]
Corporate Integrity Agreement between OIG and The Christ Hospital in Cinncinnati, Ohio From the OIG Press Release: On May 24, 2010, OIG notified TCH that OIG was considering excluding TCH based on evidence that TCH improperly rewarded cardiologists for referring patients to TCH in violation of the anti-kickback statute. The facts underlying the potential exclusion […]
RAC Focus: IP Rehab (Historical)
Centers for Medicare & Medicaid Services’ Use of Medicare Fee-for-Service Error Rate Data To Identify and Focus on Error-Prone Providers From the Executive Summary The Improper Payments Information Act of 2002 requires the head of a Federal agency with a program that may be susceptible to significant improper payments to report to Congress the agency’s […]
Workshop Regarding Accountable Care Organizations and Implications Regarding Antitrust, Physican Self-Referral, Anti-Kickback and Civil Monetary Penalty Laws The Federal Trade Commission, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services’ Office of Inspector General presented a workshop on several issues associated with Accountable Care Organizations (ACOs). These organizations […]
The OIG Work Plan 2011 The OIG Work Plan for Fiscal Year 2011 briefly describes activities that the OIG (Office of Inspector General) plans to initiate or continue related to the Department of HHS in fy2011. Additional information is available for each item. Download Links: The Complete OIG Work Plan FY2011 (159 pages pdf format) […]
Audits of Electronic Health Records Cloning Reveal Documentation Problems That Put Compliance at Risk Electronic health records (EHR) are a double-edged sword. They can reduce the time it takes physicians to document patient encounters, allow real-time access to medical records and promote legibility. But CMS and Medicare contractors are wary of classic EHR physician documentation […]
Audits of Electronic Health Records Cloning Reveal Documentation Problems That Put Compliance at Risk Electronic health records (EHR) are a double-edged sword. They can reduce the time it takes physicians to document patient encounters, allow real-time access to medical records and promote legibility. But CMS and Medicare contractors are wary of classic EHR physician documentation […]