Office of Inspector General
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Medicaid MCOs Denied 1 out of 8 Prior Authorization Requests in 2019
Medicaid managed care organizations deny prior authorization requests at high rates, according to a recent report by the Office of Inspector General. Of the 115 MCOs the OIG analyzed, 12 had prior authorization denial rates above 25%.
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Medicare Improperly Paid Providers $348M for Telehealth Psychotherapy Services
Out of the $1 billion in Medicare payments to providers for psychotherapy services in the first year of Covid-19, $580 million were improper payments, an audit by the Office of Inspector General found. This includes $348 million for telehealth services.
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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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Medicare, VHA Made $128M in Duplicate Payments, OIG Report Shows
Medicare could have saved $128 million if the Centers for Medicare and Medicaid Services had the correct controls in place to avoid duplicate payments with the Veterans Health Administration, an audit by the Office of Inspector General found.
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Feds expected to scrutinize Covid-era payments to providers
Hospitals, clinics, nursing homes and other providers collected billions in government aid during the pandemic. Federal auditors may soon come knocking to ensure the money was spent correctly.
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What do GCs need to know to advise clients to avoid telehealth fraud?
What’s interesting in this special fraud alert and what was somewhat new is the dual emphasis on marketing and clinical decision making.
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Rotting masks and other horrors in HHS report
Hospitals reported rotting masks, weeklong waits for test results, and other challenges hampering their response to Covid-19 in a report released Monday by HHS’ Office of Inspector General.
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OIG report lists HHS’ top 10 challenges
Curbing the opioid epidemic, improving care for vulnerable populations and keeping HHS data safe from cybersecurity threats are all issues outlined in the 48-page report.
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Scathing report uncovers massive fraud in Medicaid home care
The OIG report describes a range of rip-offs, some of which involve caretakers caught up in the nation’s opioid epidemic.
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Meaningful Use Audits 2.0
New Wave of Meaningful Use Audits Launched by the Office of the Inspector General (OIG) […]
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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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Office of Inspector General Exclusion list updated: What it means and what you should do
by Tom Hess and Simi Botic On Jan. 8, 2014, the Office of Inspector General […]
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Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
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Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
