Physician Leases Self-disclosed in 2008 The former owner of the facility that was known as South Coast Medical Center (SCMC) in Laguna Beach, Calif., agreed to pay more than $72,000 in a civil monetary penalty (CMP) settlement concerning leases with providers. After it reported the problematic arrangements to HHS Office of Inspector General (OIG), the […]
Physician Leases Self-disclosed in 2008 The former owner of the facility that was known as South Coast Medical Center (SCMC) in Laguna Beach, Calif., agreed to pay more than $72,000 in a civil monetary penalty (CMP) settlement concerning leases with providers. After it reported the problematic arrangements to HHS Office of Inspector General (OIG), the […]
MEDICARE IMPOSES MARKETING AND ENROLLMENT SUSPENSION ON THREE HEALTH AND DRUG SPONSORS PLAN VIOLATIONS RANGE FROM MARKETING TO RISKS TO HEALTH AND SAFETY OF MEMBERS The Centers for Medicare & Medicaid Services (CMS) today issued a notice to three Medicare health and drug plan sponsors imposing sanctions for violations of Medicare’s rules and regulations. This […]
MEDICARE IMPOSES MARKETING AND ENROLLMENT SUSPENSION ON THREE HEALTH AND DRUG SPONSORS PLAN VIOLATIONS RANGE FROM MARKETING TO RISKS TO HEALTH AND SAFETY OF MEMBERS The Centers for Medicare & Medicaid Services (CMS) today issued a notice to three Medicare health and drug plan sponsors imposing sanctions for violations of Medicare’s rules and regulations. This […]
New Demonstration Programs Support Innovation Center Goals The Centers for Medicare & Medicaid Services (CMS) today formally established the new Center for Medicare and Medicaid Innovation (Innovation Center). Created by the Affordable Care Act, the Innovation Center will examine new ways of delivering health care and paying health care providers that can save money for […]
New Demonstration Programs Support Innovation Center Goals The Centers for Medicare & Medicaid Services (CMS) today formally established the new Center for Medicare and Medicaid Innovation (Innovation Center). Created by the Affordable Care Act, the Innovation Center will examine new ways of delivering health care and paying health care providers that can save money for […]
Indeterminate Descriptions Could Include Over 200 MS-DRGs Connolly Healthcare, the Recovery Audit Contractor (RAC) for 17 states posted 35 new issues on their Approved Issues webpage and removed 4 older issues, mid-day on Wednesday, November 17, 2010. The postings continue the pattern that healthcare providers have come to expect from the 4 RACs and their […]
“Permissive” Exclusions, Even on Managers, Not Subject to Review The Office of the Inspector General (OIG) issued guidance recently, via public statements, documents and actions, explaining that it fully intends to use permissive exclusions under Sec. 1128(b)(15) of the Social Security Act, to prevent owners, officers and managing employees from working in, for or with […]
Below are direct links to the OIG site. Click on the links to see an Executive Summary of each report, with a download link below the summary text. FY2011 09-29-2011 Verification of Saint Francis Medical Center’s Refund of Place-of-Service Overpayments for Calendar Years 2009 Through 2010 (A-01-11-00512) 09-26-2011 Medicare Compliance Review of Baystate Medical Center […]