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Measuring Compliance Program Effectiveness On January 17, 2017, a group of compliance professionals and staff from the Department of Health and Human Services, Office of Inspector General (OIG) met to discuss ways to measure the effectiveness of compliance programs. The intent of this exercise was to provide a large number of ideas for measuring the […]
This proposed rule would revise the requirements that Long-Term Care (LTC) facilities must meet to participate in the Medicare and Medicaid programs. Specifically, it would remove provisions prohibiting binding pre-dispute arbitration and strengthen requirements regarding the transparency of arbitration agreements in LTC facilities. This proposal would support the resident’s right to make informed choices about […]
Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals. You are invited to listen in for ten minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder® In this episode Rucha Purohit addresses […]
Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals. You are invited to listen in for ten minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder® In this episode Heather Bryans clarifies […]
OIG Provides Physician Roadmap According to the OIG’s website, “Most physicians strive to work ethically, render high-quality medical care to their patients, and submit proper claims for payment. Society places enormous trust in physicians, and rightly so. Trust is at the core of the physician-patient relationship. When our health is at its most vulnerable, we […]
This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2018 as required by the statute. As required by section 1886(j)(5) of the Act, this rule includes the classification and weighting factors for the IRF prospective payment system’s (IRF PPS) case-mix groups and a description of […]
From the OIG, an interactive map containing data by state. 2016 Data Interactive Map 2015 Data Interactive Map 2014 Data Interactive Map 2013 Data Interactive Map 2012 Data Interactive Map 2011 Data Interactive Map 2010 Data Interactive Map
Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals. You are invited to listen in for ten minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder® In this episode […]
This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018. It also proposes to revise and rebase the market basket index by updating the base year from 2010 to 2014, and by adding a new cost category for Installation, Maintenance, […]
