New vs. Established Patient Billing: Are You Doing It Properly?

It’s no secret that the Department of Health and Human Services Office of the Inspector General (HHS OIG) has been scrutinizing how Medicare pays providers for new and established patients. Such scrutiny has resulted in providers having to pay back millions for incorrectly billing for a new patient visit when the visit should have been […]

OIG’s Far-reaching 2017 Work Plan Designed to Root Out Fraud and Abuse

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released its work plan for 2017 and its target list is ambitious. Each year, the agency releases a plan that summarizes new and existing reviews and areas where it will focus its attention for the coming year. It also shows […]

OIG report finds claims filed on behalf of the dead

With Halloween just around the corner the HHS’ Office of the Inspector General just released a report showing that during a two-year period The Centers for Medicare & Medicaid (CMS) paid out nearly half a million dollars for claims made on dead people. Federal law requires CMS to establish policies and implement claim edits to […]