OIG
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Health IT Firms Could Be Fined Up to $1M for Info Blocking Starting 9/1
Beginning September 1, HHS’ Office of the Inspector General will begin enforcing the anti-information blocking regulations laid out in the 21st Century Cures Act. EHR vendors are the entities that are most at risk of being fined — they could face penalties up to $1 million.
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OIG: Medicare Part B Spending on Lab Tests Rose 17% in 2021
The 17% increase is the largest jump since OIG began tracking lab spending in 2014. This increase was due to higher volume for three test types: Covid-19 tests, genetic tests and chemistry tests.
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Payer’s Place: Dawn Maroney
Dawn Maroney, President, Markets of Alignment Health and CEO of Alignment Health Plan, to discuss how they are using technology to provide better service and care to consumers.
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OIG: Over 50,000 Medicare Part D beneficiaries experienced an opioid overdose in 2021
Over 1 million Medicare beneficiaries had a diagnosis for opioid use disorder in 2021. But despite this high number, only 18% received medication to treat their disorder.
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OIG: MA companies used chart reviews, health risk assessments to boost CMS payments
Overall, MA companies generated an estimated $9.2 billion in risk-adjusted payments for diagnoses listed only on chart reviews and health risk assessments, with the top 20 companies receiving more than half of the payments. OIG is urging CMS to provide more oversight.
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OIG: Pandemic forced hospitals into ‘survival mode’
A new report from the HHS’ Office of Inspector General lays bare the varied challenges hospitals faced in the past year — and continue to face. These range from challenges in healthcare delivery to staffing shortages to shaky finances.
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Hospitals, Telemedicine, Physicians
What providers need to know about OIG’s plans to audit telehealth services
The Office of the Inspector General will audit Medicare Part B telehealth services to detect potential vulnerabilities and ensure compliance with regulatory requirements. To prepare, providers must first take stock of their programs and conduct audits of their own, experts say.
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Report: CMS Administrator spent millions on outside consultants
A Congressional investigation found that outside consultants billed CMS nearly $6 million in less than two years. The expenditures, which included setting up interviews with CMS Administrator Seema Verma, were found by a previous Inspector General audit to violate federal contracting requirements.
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Report uncovers patient safety issues with VA’s EHR go-live
Two reports published by the Office of the Inspector General shed light on why the VA pushed back its rollout of a new health record system. The OIG said the March 2020 deployment date was “likely unrealistic.”
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OIG report: CMS improperly reimbursed doctors $3.7M in telehealth payments
In a sample of 100 claims from 2014 and 2015, 69 met telehealth service requirements and the other 31 did not, resulting in an estimated $3.7 million in extra costs.
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Applying Remote Patient Monitoring to Surgery Prep and Recovery, Oncology and Women’s Health
Join us to learn about the latest trends in remote monitoring and how to extend its benefits beyond chronic conditions to more patients – all while using fewer staff resources.
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Meaningful Use Audits 2.0
New Wave of Meaningful Use Audits Launched by the Office of the Inspector General (OIG) […]